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Showing posts from September, 2021

A 45 year old male patient with swelling over legs and abdomen since 3 months and back pain since 1 month

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  This is online E-blog, to discuss our patient de-identified 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 the patients clinical problem with current best evidence based input. This E-blog also reflects my patient's centred online learning portfolio. I have 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. Following is the view of my case CASE : A 45 year old male patient with swelling over legs and abdomen since 3 months and back pain since 1 month  HISTORY OF PRESENTIMG ILLNESS  •Pt was apparantly asymptomatic 13 years back then he had episode of loss of consciousness with  biti

A 45year old female was bought to casuality with involuntary movements of upper limb and lower limb

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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 CHIEF COMPLAINT - Involuntary movements of upper and lower limb at night. - One episode at 10 pm - Subsided in few minutes, and other episodes in between 2am- 5am with intermittently regaining       consciousness in between. -Seizures were tonic type involving all four limbs with deviation of mouth and uprolling of eyes, frothing and involuntary micturition. -She presented to casuality with confused state. HISTORY OF PRESENT ILLNESS -She is a resident of beemavaram village and has with 2 children , her husband left her 15 years ago, he was a chronic alchoholic.  -Since then she was in depression and h