Medicine discussion

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. 60 yr old female , resident of miryalguda , having 4 children. Pt used to work as ayamma in govt hospital. She stopped working 5 years ago due to jaundice and abdominal distension . Pt is chronic alcoholic - 90-180 ml alcohol intake daily ( whiskey ), Non smoker . History of one episode of seizures 8 yrs ago when they visited temple in yadgiri gutta - As she stopped alcohol bcoz she was going to temple. No other seizure episodes till date. 5 years ago pt had h/o abdomin...

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. CASE: A 28 yr old part time DJ. Currently owning a liquor shop presented to OPD with worsening weakness of both lower limbs since 2 days and swelling of lower limbs since 3 days.   Patient is apparently asymptomatic 3 days back then he noticed swelling in both of his both of his legs which is insidious in onset, progressive and pitting type and is extending upto ankle. 2 days back he noticed weakness in the both lower limbs and needs to halt a lot while he was walking a...

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 .

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.

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.  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 Following is my analysis of this patient's problem: The problems in order of priority I found are    Migraine with aura  Sleeplessness Breathing difficulty Swelling Multiple falls 1. Migraine with aura associated with left sided decreased function ONSET: Sudden  DURATION: Since 2 years of age Gradually progressive ASSOCIATED SYMPTOMS :  Numbness of left hand and left face felt like someone was pouring ice water over the  cheek and also feeling of falling and spinning at night. Preceded by AURA associated wit...