SOWMIKA MARRU roll no - 5

  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.   Chief complaints:- Itchy skin lesions all over the body since 8 months  History of present illness:- Patient was apparently alright 8 months back then he developed small papules over the cheek after which it transformed into erythematous scaly plaques first on the nose and cheek then over the entire face,neck,back,hands and legs. H/o itching over the plaques H/o photosensitivity  C/o Tenderness in wrist joint, metacarpophalangeal joint,interphalangeal joint  H/o fever 4 episodes in last 8 months,last episode 20 days back.fever lasts for one day releived after taking medic

   This is an online e log book to discuss our patient identified health data shared after taking his/her guardian signed informed consent. Here we discuss our individual patient problems through a series of inputs from available global online community of experts with a aim to solve those patients clinical problem with collective current best evidence based inputs.This blog also reflects my patient centered online learning portfolio and valuable inputs on the comments box is welcome.I have been given this case to solve in an attempts to understand the topic of patient clinical data analysis, to develop my competency in reading and comprehending clinical data including history, clinical finding, investigation. A 48 year old male came to OPD with chief complaints of abdominal distension from past 20days.   HOPI: - Patient was apparently asymptomatic 20 days back then he developed abdominal distension which was insidious in onset and gradually progressed to present size and not associate

  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. Cheif complaints: Patient came with cheif complaints of chest painbon and off since 1 year HOPI patient was apparently asymptomatic 1 year back then she developed chest pain in the mid chest behind the sternum dragging type, non-radiating associated with palpitations ( the patient explained that she started experiencing this since her husband was affected by a stroke 1 year ago) No h/o of vomiting, shortness of breath, heartburn, giddiness, sweating ,headache Patient also complains of neck pa

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. 35 yrs old Male resident of LB nagar, occupation serap dealer came to opd with chief complaints of blood in the stools ,SOB ,easy fatigability ,itching all over the body since 1 year   HOPI : Patient was apparently asymptomatic 1 year back then he observed blood in the stools not associated with pain during defecation . He complaints of easy fatigability,SOB while doing work and lifting little weights also. History of itching all over the body ,due to itching there are small hyperpigmented patch