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45/F with b/l knee pains

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 NAME: Meghana.M Roll no: 95 Batch: 2017  This is an online E log book to discuss our patient's de-identified health data shared after taking his/her/guardian's signed informed consent. Here we discuss our individual patient's problems through series of inputs from available global online community of experts with an aim to solve those patient's clinical problems with collective current best evidence based inputs. This E log book also reflects my patient-centered online learning portfolio and your valuable inputs on the comment box" A 45 year old female who is a daily wage labor by occupation Came with the complaints of both leg pains since 1 year  HOPI: Patient was apparently a symptomatic one-year back then she developed bilateral lower limb pains,  dragging type of pain insidious in onset gradually progressive radiating from hip to foot, accompanied with tingling sensation while walking since one year  Bilateral knee pain, with crepitus dragging type of pain,...