Medical elog 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.” I've 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 a diagnosis and treatment plan.  CHIEF COMPLAINTS:   Patient came to casualty on 11/07/2023 with complaints of pedal edema of both the legs from ankle to knee since 3 days

  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