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56 year old patient with pain in abdomen

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 This is an E-log book to discuss  our patient's de-identified health data shared after taking his guardian sign 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 those patient's clinical problem with collective current best evidence based inputs.This E-log book also reflect my patient  centered online learning portfolio. A 56 year old male came to OPD with the chief complaint of pain in abdomen, abdominal distension and decreased urine output since 4 days. Patient was apparently asymptomatic 4 days back,then he developed pain in abdomen (upper abdominal region).He complained of distension of abdomen since 4 days. No history of nausea, vomitings and constipation.last alcohol consumption 5 days back. HISTORY of Past Illness  Patient is alcoholic  Patient has wrist pain since 2 years. Not a known case of diabetes mellitus, hypertension and CAD. PERSONAL H...

A 65 year old patient with fever since 10 days

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 This is an E log book to discuss our patient's de-identified health data shared after taking his guardian sign 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 those patient's clinical problem with collective current best evidence based inputs.This E-log book also reflect my patient centered online learning portfolio. A 65 year old male came to OPD with the chief complaint of fever since 10 days. Cough with sputum since 1 week. Burning micturition since 3 days. Decreased appetite since 10 days. HISTORY OF PRESENT ILLNESS Patient was apparently asymptomatic 10 days back then he developed fever which was of high grade and relieved on medication and it was also associated with cough and sputum since 1 week. He developed burning micturition since 3 days and decreased appetite since 10 days. HISTORY OF PAST ILLNESS Not a known case of diabetes mellitus,TB, asthma, hyperte...

70 Year old female patient with fever bodypains and vomitings

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 This is an E log book to discuss our patient's de-identified health data shared after taking his guardian sign informed consent.Here we discuss ou individual patient problems through series of inputs from available  global online community of experts with an aim to solve those patient's clinical problem with collective current best evidence based inputs.This e log book also reflect my patient centered online learning portfolio. A 70 year old female came to OPD with the chief complaint of fever, vomitings and body pains since 2 weeks. Patient was apparantly asymptomatic 2 weeks back and she reffered to a local clinic and a week back was shifted to our hospital. Patient had fever which was intermittent ,continuous and decreased with medication.and also burning micturition. She had burning sensation of feet and lower limbs.She had vomittings on consumption of food 4 times a day and food particles as content.Patient has loose stools and dryness of tongue.She has pain in inner buc...

40 year old female with joint pains since 4 months

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 CHIEF COMPLAINT  A 42 year old female came with chief complaint of severe joint pains since 4 months  HISTORY Of PAST ILLNESS  Joint pains in knees and ankle since 4 years  HISTORY Of PRESENT ILLNESS  Severe joint pains in shoulders , elbow joints,fingers,knee joints. Patient with severe joint pains visited hospital and after examination and after performing various tests , she was diagnosed with Rheumatoid arthritis. She discontinued medication  She started taking homeopathy GENERAL EXAMINATION Joints : no swelling  FAMILY HISTORY Significant DIAGNOSIS : RHEUMATOID ARTHRITIS