Medical elog book

  Introduction:   This  online  E-log Entry Blog  is an  objectively structured clinical examination method to assess the clinical competence during the course of my General Medicine Internship rotation (June'2023-August'2023) by reviewing the case reports shared below and  to discuss, understand and review the clinical scenarios and data analysis of patients so as to develop my clinical competency in comprehending clinical cases, and providing evidence-based inputs for questions surrounding the clinical vignettes borrowed from the E Log Book. Note:  The cases have been shared after taking consent from the patient/guardian. All  names and other identifiers have been removed to secure and respect the privacy of the patient and the family. Case history: A 30 year old male came to casualty with c/o involuntary movements of hands and tingling and numbness in upper limbs and abdomen since yesterday morning  Patient was apparently asymptomatic 20 days back then he developed fever ins

This is 38 year old female .homemaker by occupation  was brought to casualty with a c/o - C/o paroxysmal involuntary opening of mouth and involuntary deviation of head and neck to both sides on and off from yesterday (10:30 am.on  03/05/2023) HOPI Patient was apparently asymptomatic  till yesterday morning. Suddenly she developed paroxysmal involuntary opening of mouth and involuntary deviation of head and neck to both sides on and off No H/o weakness of limbs No H/o fever No H/o loose stools  Patient underwent TAH +BSO 3days back(1/07/2023)(indication-anterior submural fibroid) Past H/o Similar complaints 15 months back after 2 nd  baby delivery  by LSCS Is a N/k/c/o  HTN,DM,CAD,Epilepsy, asthma  Underwent 2 previous LSCS(in 2020 and 2022) FAMILY HISTORY  not significant PERSONAL HISTORY  mixed diet Normal appetite  Regular Bowel and Bladder movements Sleep -disturbed (she had a elder brother who died in RTA 5 years back from then she is having sleep disturbance.  No allergies  addict

 A 30 year old male came to casualty with c/o involuntary movements of hands and tingling and numbness in upper limbs and abdomen since yesterday morning  Patient was apparently asymptomatic 20 days back then he developed fever insidious in onset, gradually progressive, low grade , intermittent not associated with chills and rigors and relieved by medication He has a history of 4-5 episodes of vomitings 5 days back. Watery, non bilious ,non projectile, with food particles as contents. Relieved by medication (unknown) No c/o pain abdomen, loose stools   c/o burning micturition 2 days back, relieved now H/o similar complaints in the past(7 years back) (hypokalemiac periodic paresis) No h/o DM,HTN, asthma, epilepsy,cad, thyroid disorders  He used to take alcohol occasionally for the past 10 years and stopped taking 1 month back He takes betel leaf(pan) once in 2 days for the past 10 years  O/E  Patient is conscious, coherent and cooperative well oriented to time ,place and person No signs

  50/M WITH FEVER ,LOSS OF APPETITE AND PAIN ABDOMEN WITH Z+ve June 12, 2023 This is an online e log book to discuss our patient de-identified health data shared after taking his / her / guardians signed informed consent. Here we discuss our individual patients problems through series of inputs from available global online community of experts with an aim to solve those patients clinical problem with collective current best evident based input. This E blog also reflects my patient centered online learning portfolio and your valuable inputs on 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 come up with diagnosis and treatment plan. UNIT 1  AMC  DOA:12/06/23 This is a case of 55 year old male who is construction worker(floor tile worker) by occupation and resident

 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.” FINAL EXAMINATION LONG CASE REPORT: 2017 CASE HISTORY : 52 year old male,farmer by occupation, resident of Nalgonda came to hospital with chief complaints of: • Fever since 7 days. • Abdominal tightness since 7 days. HISTORY OF PRESENT ILLNESS : Patient was apparently asymptomatic 7 days ago then he developed  fever which was insidious in onset, gradually progressive, continuous, low grade fever ,without any chills and rigors  Relieved by medication ( paracetamol) ,no