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"


This is blog created from an opd case seen on 10/07/2023


A 36 years old male patient came to the opd with chief complaints of pain in small joints of both upper limbs and lower limbs since 3 months 

H/o easy fatiguability 

Complaints of burning pain in the retrosternal area 

Complaints of dyspepsia since 2 years 


Not a k/c/o dm , htn , Asthma,tb 


On examination:

Patient is concious, coherent and cooperative. 

VITALS

Temperature: Afebrile

PR: 84 bpm 

BP: 120/70 mmhg


SYSTEMIC EXAMINATION :

CVS: S1 S2+, no murmurs

CNS: NAD

RS:  BAE+ NVBS+

P/A: soft , non tender 


DAILY ROUTINE: 

Patient was cheff by profession . He wakes up at 6 am and have his breakfast by 8 am and goes to work and have his lunch by 1 pm and then come back to home by 8 pm and have  dinner by 9 pm and sleeps by 10 pm . 

His daily routine is slightly distrubed  as he is feeling tired .


Advice:

Symptomatic treatment 

Avoid spicy foods 

Popular posts from this blog

65 years old male patient with involuntary movements and focal seizures

Image
   65 year old male patient with Involuntary movements and focal seizures  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" Date of Admission- 28/06/2023 A 65 year old male patient brought to casuality by his attenders with chief complaints of  Involuntary movements of left upperlimb and frothing from mouth at 4 10 am on 28/06/2023 HISTORY OF PRESENT ILLNESS Patient was apparently asymptomatic till 4 10 am  Then he developed involuntary movements of left upperlimb and frothing from the mouth since 1 hr  Associated with uprolling of
Read more

GENERAL MEDICINE ASSIGNMENT

MEDICINE BLENDED ASSIGNMENT May 24,2021 I have been given the following cases 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, investigation and diagnosis and come up with the treatment plan. This is the link of questions asked regarding the cases: http://medicinedepartment.blogspot.com/2021/05/online-blended-bimonthly-assignment.html?m=1 Below are my answers to the medicine assignment based on my comprehension of the cases. PUlMONOLOGY CASE:1  1) What is the evolution of the symptomatology in this patient in terms of an event timeline and where is the anatomical localization for the problem and what is the primary etiology of the patient's problem? Evolution of symptomology: 20 yrs back-First episode of shortness of breath(lasted for 1 week during January)and continued in the same pattern for 7 years ↓ 12 years back-Episode lasted for
Read more

A 55 year old male patient with pain abdomen since 2 days

Image
A 55 year old  male patient with pain abdomen  since 2 days  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" Date of admission - 11/07/2023 A 55 year old male patient bought to the casuality with chief complaints of abdominal pain  since 2 days .  History of present illness  - Patient initailly started drinking and smoking from 30 years . From past 2 years patient was having epigastric pain for which he went to the local doctor and would get the treatment  It was like on and off pain which relieved on medication. 6 months back pat
Read more