RANA DARSHANAM ROLL NO 35

 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.  CHIEF COMPLAINTS:- 50 year old female came with complaints of fever since 1 week associated with vomitings HISTORY OF PRESENT ILLNESS:- Patient was apparently asymptomatic 30 days back then she developed fever of high grade with chills and rigors for which she got admitted in hospital and treated , fever relived on medication.  Since 1 week she developed fever of high grade with chills and rigors, continuous relieved on medication but recurring after 3-4 hrs, generali

  This is 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 comments on comment box is welcome A 60 Y/M , previously a autodriver came with chief complaints of B/L lowerlimb swelling B/L lower limb weakness and  decreased speech output since 4 days bowel and bladder incontinence since 4 days HOPI: patient was apparantly asymptomatic 4 days ago then on tuesday morning when he developed bilateral lower limb swelling which is insidious in onset, intermitten ,not pitying type H/o dragging type of pain from proximal to distal , continuous aggravated on walking(impairing hi

 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. CHIEF COMPLAINTS:- Patient came to casuality with c/o Fever since 3 days HISTORY OF PRESENT ILLNESS:- Patient was apparently normal 3 days back, he then developed fever which is high grade, intermittent, associated with chills and rigor with evening rise of temperature Fever associated with headache, generalised body pains and generalised weakness Pt c/o burning sensation of eyes, loss of apetite SOB on exertion(grade 2) since 3 days  No c/o cold, cough, pain abdomen,

This is 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 patients 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 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.   CONSENT AND DE-IDENTIFICATION :  The patient and the attenders have been adequately informed about this documentation and privacy of the patient is being entirely conserved. No identifiers shal