e log book of siddharthcvs

  GENERAL MEDICINE E LOG BOOK 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." SHORT CASE A 35year old male toddy climber by occupation from miryalaguda came to the opd with complaints of pain abdomen and fever  CHIEF COMPLAINTS 1)pain abdomen since 10days 2) Fever since 7 days  3)pedal edema since 7 days  HISTORY OF PRESENTING ILLNESS :  Patient was apparently asymptomatic 10 days back and later developed  -severe pain abdomen in the right upper quadrant region of abdomen ,which was sudden in onset,gradually prog

Short case final exam   This is an online e log book to discuss about patients de identified data shared after taking his /her /guardians signed informed consent  SHORT CASE 35 year old male patient, Resident oframchandrapuram ,HYD,works as daily wage labourer . Who is a chronic smoker(1 pack of beedi every 2 days )  and taking alcoholic (90 ml daily ) since 20 years  Presented with 3 months history of painless lesions - papules with erythema  that started initially over face then extended to upper limb and lower limb ,trunk . No hypodense lesions ,no fever ,no pus discharge ,no loss of sensation ,no genital lesions . Patient got topical cream ,soap and some oral drugs from medical shop - OTC  He used for 2 months ,few lesions regressed ,but few persisted on nose ,earlobe and on trunk ,hands ,legs . 14 days back patient developed blackish  skin discoloration over hands and feet with skin peeling ,cracking ,ulcer formation - associated with burning sensation and  erythema all over the b

GENERAL MEDICINE E LOG BOOK1 "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   LONG  CASE A 62 year old Gentleman, came to the OPD with chief complaints of severe burning micturition since 1 month. History of presenting illness He was apparently asymptomatic 1 month back, developed burning micturition suddenly , insidious in onset for which he went to a local doctor who prescribed paracetamol which did not relieve his symptoms following which he came to the OPD. Pt experienced sudden loss of appetite followed by disturbed slee