Dr. Aditya Samitinjay

A 54 year old gentleman presented to my clinic with a chief concern of altered bowel habits since 12 years. A principled and inquisitive man, he reports first having altered bowel habits nearly 14 years ago, manifested by an increase in time spent in the loo for complete evacuation. On pressing further, he says that his visit to the wash is often preceded by a vague pain in his abdomen, which apparently may or may not relieve with defecation. He describes the pain as a poorly localising, diffuse, spasmodic pain that can last from anywhere between 5 to 15 minutes.

  A 60 year old woman, housewife by occupation presented with the complaints of  Dyspnea on exertion since 6 months  Chest pain since 2 days

Case Presentation History taken from Patient and Attendant (elder brother); Reliability 9/10.  A 49 year old English and Telugu language lecturer presented with a 2 month history of progressive asymmetric involuntary movements of his right index and middle fingers.

Long Case Presentation History A 44 year old man presented with a 3-day history of bilaterally symmetrical rapidly progressive generalized edema.