RANA DARSHANAM ROLL NO 35

NOTE: THIS IS AN ONLINE E LOGBOOK 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 A SERIES OF INPUTS FROM THE AVAILABLE GLOBAL ONLINE COMMUNITY OF EXPERTS INTENDING TO SOLVE THOSE CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE-BASED INPUT. This is the case of a 61-year-old male, resident of West Bengal, and retired Engineer by occupation. The following history was taken through a telephone conversation. The patient was explained about confidentiality and written consent was taken to create the following case report. This case report aims to record the patient's journey. CHIEF COMPLAINTS:- - Patient complains spreading of  rash  since last forty years. History of present illness:- According to the patient, the  onset of rash  was  gradual  and  nature of the rash  is   progressive  over the last forty ...

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  55 year old female from Assam came with the CHIEF COMPLAINTS of lower back ache since 15 years . HISTORY OF  PRESENTING ILLNESS  Patient is a resident of Assam married at the age of 18 years ,started working in farms 4 years after her marriage ,her work many consisted of  ploughing and sowing ,transplanting the sampling requiring her to bend forward and lean for several hours (5-10hrs/day) She gave birth to her first child 2 years af...