General medicine

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.  A 48 yr male who is a toddy collector by occupation came to the OPD with C/O difficulty in walking since 22 days, swellings of B/L feet since 15 days, difficulty in lifting Rt arm since 15 days.  HOPI: ‌Pt was apparently asymptomatic 1 month ago then he developed pain in the back which is pricking type, radiating down to buttocks and not relieved on rest.  He went to RMP to get some medication(injection, tablets, spray) for the pain and used it for 4 days which...

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  discussion:l a 60 year old man who is a shepherd presented with the complaints of decreased appetite since 1 Week, decreased urine output since 2 days, bilateral pedal edema since 2 days.  History of presenting illness 10 days ago he developed fever which was low grade,no diurnal variation, not associated with chills and rigors and for which he went to RMP where his fever was subsided by medication. patient was having decreased appetite  since 1 week...