SHIVANI IRAGAMREDDY ROLL NO 146

  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. CASE:  A 79 y/o male was brought to casuality with c/o cough since 20 days ,  fever since 10 days difficulty in swallowing since one month C/o altered sensorium since 3 days HISTORY OF PRESENTING ILLNESS  Patient was apparently asymptomatic 20days back then he developed cough insidious in onset and gradually progressive productive but patient is not able to spit it out.  Difficulty in swallowing. Series of events as follows * Patient developed cough and cold on 25th Feb

  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. CASE: A 49 year old female came with chief complaints of pain in the joints since 10 years. HISTORY OF PRESENTING ILLNESS: Patient was apparently asymptomatic 10 years back.She then developed fever (on and off type) for which she takes paracetamol (2-3 everyday).She had 2-3 episodes of vomiting,headache and increased frequency of micturation(15-20 times a day). She then developed pain and swelling in her wrist,ankle,shoulder,elbow,hip,metacarpal phalanges,metatarsal joi