58 YEAR OLD MALE WITH BLACKISH DISCOLOURATION OF PALMS AND SOLES
This is an E log book to discuss our patients de identified health data shared after guardians informed consent. Here we discuss our individual patient problems through series of inputs from available global online community of experts with an aim to solve this patients clinical problems with collective current best evidence based inputs. This E-book also reflects my patients centered online learning portfolio and your valuable comments in comment box are most welcome. I have been given this case to solve in an attempt to understand the topic of "patient clinical data analysis" to develop my competency and to comprehend clinical data including history, clinical finding investigations and come up with a diagnosis and treatment plan. CHIEF COMPLAINTS - blackish discolouration of the palms and soles since 3 months - loss of appetite since 3 months HISTORY OF PRESENTING ILLNESS The patient was apparently alright 3 months ago then he developed blackish discolouration of the pal