GENERAL MEDICINE

70 YAER OLD MALE WITH QUADRIPARESIS.                                  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. CASE:  Chief complaints 70 year old male, who was an farmer by occupation but has stopped working since 4 years ,came to the hospital with chief complaints of weakness in the both upper and lower limbs since 1 week and unable to carryout routine activities of daily living.  HISTORY OF PRESENT ILLNESS :  Patient was apparently normal 1 week ago and he developed weakness in bo...

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 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 in the comment box are welcome. I have been given this case to solve an attempt to understand the topic of "patient clinical analysis of data " to develop my competency in reading and comprehending clinical data including clinical history,clinical findings, investigations and come up with a diagnosis and treatment plan. CASE DISCUSSION  A 70 year old male Came with chief complaints of severe leftsided headache since 20 days associated with left ear tinnitus  HOPI Patient was an alcoholic for 10 years ...

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Name : Thota Vaishnavi Roll no : 133 CHIEF COMPLAINTS A 35 year old who is painter by occupation came with chief complaints of shortness of  breath and fever since 1 week.  HISTORY OF PRESENT ILLNESS  Patient was apparently asymptomatic 1 week back, then he developed  • shortness of breath on exertion, since 1 week. • high-grade fever since 1 week, more during night, relieved on medication and relapses back. • decreased urine output since 1 week • dragging type of pain in both legs and hands, associated with generalised weakness. • orthopnea and PND present since 4 days HISTORY OF PAST ILLNESS No history of DM, HTN, TB, Epilepsy, leprosy, CAD, CVN, Asthma or any other chronic illness. No history of previous transfusion.  PERSONAL HISTORY Built : Weakly nourished Appetite : Decreased since 1 week Diet : mixed Sleep : Decreased since 1 week  Bladder movements:  Anuria since 1 day associated with burning micturition. Bowel movements: regular Addictions : ...

Name : Thota Vaishnavi Roll no : 133 Chief complaints  75 year old female came with chief complaints of  -Shortness of breath since 3days (grade 4) MMRC -Orthopnoea since 3 days HISTORY OF PRESENT ILLNESS 70 year old female, resident of chandanapally. Patient was apparently asymptomatic 10days back.Then developped Shortness of breath(grade2)-which progresses to (grade4)-3days back. Patient also have orthopnoea since 3days She is developping fever(low grade) on and off since 1 year and subsides on taking medication. Poor stream of urine since morning Nausea since morning No paroxysmal nocturnal dyspnea  No h/o weight loss No h/o lower abdominal pain,bleeding pervaginum PAST HISTORY 15 years back she developped psoriasis in nails (UL) later which had spread to overall body within 5years. For 3 years she used Allopathy medicines, but she was not satisfied. Then she went to homeocare hospital and started on medication.After using medication, it subsided in few areas and even ...