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  Hi I am, Yaswanth reddy (roll no:100), 5th sem medical student. This is an online e-log book to discuss our patient's health data shared after taking his/her consent . This also reflects my patient centered care and online learning portfolio. A 64 years old male presented with chief complaints of weakness and giddiness over 15 days Chief complaints : patient was apparently asymptomatic 15 days ago then developed generalised weakness and developed giddiness aggrivated by walking and standing for long hours Past history: K/c/o of hypothyroidism 35yrs back and on medications Thyronorm 200mg K/c/o of Parkinsonism since 15 yrs back on medications No k/n/o of htn diabetes asthama epilepsy  GENRAL EXAMINATION  Patient was conscious coherent moderately build No pallor icterus cyanosis  lymphadenopathy  PR: 88bpm RR: Temp : afebrile  CNS : Patient was consious Normal speech No neck stiffness , kerning sign Cranial ,motor examination : normal   

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