General medicine elog book

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 is welcome." Unit 5  Ward  A 58 year old male, resident of bengal, farmer by occupation came to casuality yesterday night with c/o. headache in the occipital region since 3-4 years, intermittent, associated with photophobia and aggravated by loud sound. No h/ o nausea, vomitings. C/o. waking up at night 3-4 times to use the washroom. H/ o generalised weakness since 3-4 years Twitching of the muscles at night while he sleeps since 3-4 years Decreased sleep( disturbed sleep, use...

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 is welcome.” A 21year old male resident of miryalaguda came to casualty with chief complaints of  fever since 5 days, c/o decreased appetite since 7days, c/o vomiting  since 1day, c/o sob since morning. Patient was apparently asymptomatic 5days back then he developed fever which was  insidious in onset, intermittent and was of  high grade type a/w chills and relieved on medication. Pt had h/o 1episode of vomiting 1day back which was non-bilious,non- projectile. No h/o ...

This is an online E log book to discuss our patient’s de-identified data shared after taking his/her/guardian’s signed informed consent.” FINAL EXAMINATION LONG CASE: A 50 year old lady ,resident of Nalgonda, who is a home maker came to the OPD with chief complaints of pain and stiffness in several joints since 1 year. History of present illness: She was apparently asymptomatic 10 years ago, then she developed a dulling aching type of pain and stiffness in her finger joints(Metacarpo-phalangeal joints-MCP) of right hand with limitations of movements at the joints. Then within 6 months of onset,the disease progressed to involve other joints of the right hand and left hand as well( both wrist joint and elbow joint)  Within 4 years of onset ,she started feeling pain in the joints of the feet and ankle joint.  Since 3 months the pain became unbearable limiting  her activities The pain was insidious in onset, slowly progressive, dull aching type of pain, non radiating, associa...