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A 46 year old female came with the chief complaints:

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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 CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE BASED INPUT." A 46 year old female came with the cheif complaints of:  swelling in the neck since 1 year,  hoarseness of voice since 6 months Difficulty in swallowing since 6 months Weight loss since 2 months Burning micturation since 10 days HOPI: Patient was apparently asymptomatic 1 year back then she observed a pea sized swelling in neck , which gradually progressed  to present size ,not associated with pain, swelling moves on swallowing  https://youtube.com/shorts/2CpO9BdlhGc?feature=share Past history : Not a known case of TB,DM ,Asthma,HTN,Epilepsy She is a known case of  thyroid  Treatment history: