Posts

Final Exam Long Case

Image
Hall Ticket No: 1601006042 This is an online e logbook to discuss our patients deidentified health data shared after taking her/guardian's signed informed consent Here we discuss our individual patient problems through series of inputs from available global online community of experts with an aim to solve those patients clinical problems with collective current best evidence based inputs This E log also reflects my patient centre’s online learning portfolio and valuable inputs on the comment box is welcome. CASE A 50yr old female,farmer by occupation, resident of suryapet came with chief complaints of weakness in left upper and lower limbs since 3 days. History of present illness: Patient was apparently asymptomatic 3 days back ,then she developed dizziness which was sudden in onset .Then she developed weakness in her left upper and lower limbs followed by fall.Weakness was sudden in onset and progressed rapidly to a state where she was unable to move her left lower limb and left u...

Final Exam Short Case

Image
Hall ticket number:1601006042 This is an online e logbook to discuss our patients deidentified health data shared after taking her/guardian's signed informed consent Here we discuss our individual patient problems through series of inputs from available global online community of experts with an aim to solve those patients clinical problems with collective current best evidence based inputs This E log also reflects my patient centre’s online learning portfolio and valuable inputs on the comment box is welcome. CASE  : A 14yr old male who is a student resident of Nalgonda came with chief complaints of - 1) Fever since 8days 2) Cough since 8days 3) Shortness of breath since 8days History of present illness : Patient was apparently asymptomatic 8 days back then  - He developed fever,insidious in onset, continuous,low grade associated with chills and rigor and relieved on medication - History of cough which was insidious in onset ,not associated with expectoration and no aggravate...

GM Elog Case-4

Image
RISHIK  R No 37 A 50yr OLD MALE WITH IDIOPATHIC PARKINSONISM 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 I've been given this case to solve in an attempt to understand the topic of "patient clinical data analysis" to develop my competency in reading and comprehending clinical data including history, clinical findings, investigations and come up with a diagnosis and treatment plan.  Patient came with Chief Complaints of : Unintentional Shaking movements in his Rt Hand Since 4 months HISTORY OF PRESENT...

GM Elog Case-3

Image
RISHIK  R No 37 A 40yr OLD MALE WITH RIGHT SIDED PLEURAL EFFUSION 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 I've been given this case to solve in an attempt to understand the topic of "patient clinical data analysis" to develop my competency in reading and comprehending clinical data including history, clinical findings, investigations and come up with a diagnosis and treatment plan After going through the patient details as given by our Intern Sir through the following link.. http://jessusanjay.bl...

GM Elog Case-2

Image
RISHIK R.no: 37 23 yr Old male with Bilateral Lower limb weakness.  I've been given this case to solve in an attempt to understand the topic of "patient clinical data analysis" to develop my competency in reading and comprehending clinical data including history, clinical findings, investigations and come up with a diagnosis and treatment plan. After going through the patient details as given by our Intern Mam through the following link.. https://vaish7.blogspot.com/2020/05/medicine.html?m=1 My analysis of the patient is as follows, Chief Complaints :   *Bilateral Lower limb weakness.  Bilateral Lower limb weakness associated with Tingling and Numbness since 5 days.  There is also H/O Sudden fall.  As described by the patient, there is intially Paraparesis that gradually developed into Paraplegia. Paraparesis can be due to 1. Injury  - Which is ruled out as there is no H/O trauma.  2. Vitamin B12 deficiency - Which is ruled out as there is no Pall...

GM Elog Case-1

RISHIK R.no: 37 42 Year old woman with multiple health events since birth I've been given this case to solve in an attempt to understand the topic of "patient clinical data analysis" to develop my competency in reading and comprehending clinical data including history, clinical findings, investigations and come up with a diagnosis and treatment plan.  You can find the entire real patient clinical problem in this link here.. https://classworkdecjan.blogspot.com/2019/05/42-f-with-severe-regular-edema-with_17.html?m=1 As the patient has multiple health events pertaining to various systems  In the below discussion I tried to correlate various possibilities of associations between the presenting complaints so as to narrow down the possible underlying pathologies ( Not trying to fit them under one umbrella, but just tried to correlate various symptoms ).  Following is my analysis of this patient's problem: The problems in order of priority I found are  1) Increased Pain to...