172 M. Haarika

  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 CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE BASED INPUT  CHIEF COMPLAINTS-  C/o itchy skin lesion on left foot since 10 yrs which initially started as a papule  C/o pain in the abdomen since 3 days C/o constipation since 3days C/o vomitings since 2days HISTORY OF PRESENT ILLNESS-  Pt was apparently asymptotic 2days ago then he developed pain in the abdomen-epigastric region. Pain is sudden in onset, gradually progressive. Pain increases more after eating food and on lying in supine position. Pain is relieved on sitting position and on bending forward.  H/o 3 episodes of vomiting yesterday after eating food. Content- food, non bilious, non projectil...

  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. 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 finding, investigations and come up with a diagnosis and treatment plan CONSENT AND DEIDENTIFICATION :  The patient and the attenders have been adequately informed about this documentation and privacy of the patient is being entirely conserved. No identifiers shall...

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. 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 finding, investigations and come up with a diagnosis and treatment plan CONSENT AND DEIDENTIFICATION :  The patient and the attenders have been adequately informed about this documentation and privacy of the patient is being entirely conserved. No identifiers shall b...

  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. Chief complaints- Swelling of limbs since 2 weeks  Cough since 2 weeks Shortness of breath since 5 days  History of present illness- Pt was apparently assymptomatic 2 weeks ago then he developed swelling in lower limbs which is insidious in onset gradually progressive in upper limbs and now to the entire body ,pain is not relieved on medication  No H/O  palpitation, sweating, vomiting , loose stools No H/O fever  History of past illness- K/C/O diabetes type 2 K/C/O hy...