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Let me Introduce myself , I am G.ACHAL RAM currently in final year pursuing MBBS.   My aim of this section is to do a comprehensive assessment regarding the  case provided by our interns. The whole clinical data including history, clinical features and workup is provided in the below link. https://hitesh116.blogspot.com/2020/05/12may-2020-elog-medicine-intern.html?m=1 After exploring the above case , the SUBJECTIVE COMPLAINTS are as follows : Weakness of bilateral lower limbs since 20 days Bilateral edema in lower limbs H/O Difficulty in maintaining posture in squatting position and getting up from that position H/O Difficulty in wearing and holding chappals. On reviewing the chief complaints , focused assessment  on CENTRAL NERVOUS SYSTEM , PERIPHERAL NERVOUS SYSTEM and MUSCULOSKELETAL SYSTEM must be on top priority to come up with a differential diagnosis and near possible provisional diagnosis. DETAILED HISTORY OF PRESENT ILLNESS WEAKNESS Weakness initially started in the proximal r

   Let me Introduce myself , I AM G.ACHAL RAM , Currently in fourth year pursuing MBBS in Kamineni Institute of medical Sciences. The objective of My Discussion is to Improve Comprehensive Assessment regarding Patient's clinical data ( History and Clinical Findings ) and Culminating with a proper Management. After reviewing the whole data about the case, provided in the below ( https://classworkdecjan.blogspot.com/2019/05/42-f-with-severe-regular-edema-with_17.html?m=1 )   The SUBJECTIVE complaints in the patient are as follows :     1. Frequent fall to the left side with weakness in left hand and leg.  2. Cravings for salt and fat.  3. Hair loss.  4. Decreased response to stress and fatigue.  5. She had generalized swelling due to emotional stress, exercise, smoking, eating and mostly confined to face and abdomen.  6. she had decreased sleep .  7. she complaints of dec reased urine outpu t . As she came to the hospital with multiple various events at different times of her lifespa