PREFINAL PAPER 1

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77 year old male with SOB

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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 A SERIES OF INPUTS FROM THE AVAILABLE GLOBAL ONLINE COMMUNITY OF EXPERTS WITH AN AIM TO SOLVE THOSE CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE-BASED INPUT . A 77 year old male, fruit vendor by occupation came to opd with chief complaints of shortness of breath since one week. HOPI : Patient was apparently asymptomatic two years ago then he developed bilateral knee pain for which he went to the hospital and incidently diagnosed with hypertension. After which he was started on antihypertensives which he did not use regularly. Two months ago patient developed shortness of breath which was insidious in onset and gradually progressive as dyspnea appeared on doing  minor physical activity and progressed to SOB on walking for small distances( Grade 2 to Grade 3) a...
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60Y /F WITH RIGHT UPPER AND LOWER LIMB WEAKNESS WITH DEVIATION OF MOUTH TO LEFT

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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 patients' problems through a series of inputs from the available global online community of experts with an aim to solve those patients' clinical problems with collective current best evidence-based information. This E blog also reflects my patient-centered online learning portfolio and your valuable input in the comment box is welcome. 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 coming up with diagnosis and treatment plans. is an online e-log book to discuss our patient's de-identified health data shared after taking his / her / guardians' signed informed consent. Here we discuss our i...
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A 26 year old male presented to the with abdominal pain and episodes of Vomiting

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Chief complaints : Abdominal pain since 4 days , vomiting since 4 days. History of presenting illness : Patient was apparently asymptomatic 12 years back then he developed epigastric pain. Last episode was 10 days back and subsided after medication . Present episode since 4 days, the epigastric pain is of burning type, continous radiating to midscapular region and relieved on medication. 5  Episodes of vomiting 4 days back which was associated nausea, bilious, non projectile in nature with food content with bad odor.  Past history : Patient is a chronic alcoholic and has similar complaints in the past. No history of diabetes, hypertension, Asthma, TB, thyroid, epilepsy. Personal history:   Diet: mixed Appetite : normal Sleep : adequate  Bowel and bladder: regular  Addictions : Chronic alcoholic and stopped since 1 month. Family history : No similar complaints  General physical examination :  Patient is conscious coherent and Cooperative.  Pallor: ...
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