A 65 years old lady with sudden upper limb pruritus & inability to get up from squatting position and difficulty in swallowing since 2 weeks

This is a HIPAA de-identified open-online-patient-record with initial information in duty-doctors notes as well as patient's voice, posted here early winter 2015 after collecting informed patient consent (form downloadable here) by LNMCH research assistant and patient-information-communication-executive for a discussion initiated by patient's primary care physician in-charge: 

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Patient histoy notes:

Patient O/E Images:

Doctor's notes & drug history:

Investigation images & old discharge card images;

Clinical Pictures