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NOTE: THIS IS AN ONLINE E LOGBOOK 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 INTENDING TO SOLVE THOSE CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE-BASED INPUT A 50 YR OLD MALE, CARPENTER, RESIDENT OF VELIMINEDU, COMPLAINS OF WEAKNESS IN RT UPPER AND LOWER LIMBS SINCE 2 DAYS PT WAS APPARENTLY ASYMPTOMATIC 2 DAYS AGO THEN AT NIGHT 11PM, HE HAD TREMORS AND WEAKNESS OF RT UPPER LIMB, WENT TO LOCAL HOSPITAL RMP, THERE BP WAS FOUND TO BE 180/140 MMHG AND WAS MANAGED WITH CINOD 10MG AGAIN AT 2 AM, COMPLAINED OF WEAKNESS OF LEFT LOWER LIMB  HEADACHE IN LEFT PARIETAL REGION, PRICKING TYPE, SINCE 2 DAYS VOMITINGS, 3 EPISODES, 2 DAYS AGO NAUSEA + SOB ON EXERTION SINCE 1 MONTH, ORTHOPNEA + NO C/O CHEST PAIN, SWEATING, COUGH, GIDDINESS, BURNING MICTURATION, LOOSE STOOLS K/...
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18 yr old female, resident of narketpally, complains of 3 episodes of seizures since yesterday night Pt was apparently asymptomatic till last night, at 12 am, in her sleep, she had an episode of gtcs with tongue bite, dribbling of saliva, post ictal confusion and uprolling of eyeballs and gained consiousness after 10min Similar episodes took place at 4am and 11.30am No involuntary micturation or defecation C/o headache in frontal region, non radiating C/o nausea since morning No fever, cough, cold, chest pain, orthopnea, pnd, burning micturation, loose stools, vomitings K/c/o seizures since 1yr, used medication for 1 month, and stopped after that No palor, icterus, cyanosis, clubbing, lymphadenopathy, edema  Vitals: Pr 108 bpm Bp 110/70 mmhg Rr 14 cpm Spo2 99% Grbs 92 mg/dl Cvs: s1,s2 normal Rs: BAE present  P/A: soft, non tender  CNS: Pt is conscious,  Speech is normal No meningeal signs Normal cranial nerve examination, motor system, sensory system Gcs: E4,V5,M6 Re...
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A patient with chronic kidney disease on dialysis

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 This is 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 patients 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 comment box is welcome . Gnana Prasuna Reddy  Roll no. 49 Case: 65 year old man, who is a resident of nakrekal, a daily wage worker, came to the department with the chief complaints of high grade fever, cough with expectoration since 3 days.  Fever was continuous, associated with chills and rigors and subsided upon  taking paracetamol medication.  Cough was associated with white coloured expectoration, which was scanty and increased during night times It is not associated with any postural vari...
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