GENERAL MEDICINE ASSIGNMENT- MAY 2021

  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. E.Siddhanth 157 A 31year old female, who studied till degree and is a housewife by occupation came with chief complaints of:  B/L knee pains since 2 weeks Fever on and off since 2 weeks Oral ulcers since 6 months  Patient was apparently asymptomatic 2 years ago and then she developed pain in her right shoulder, which was dull aching type and continuous, for which she went to an Orthopaedic and was given medication. The pain kept alternating between right and left shoulder and som...

 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 CHIEF COMPLAINTS: Patient came to the hospital with the chief complaints of - fever , headache , altered talking ,walking and confusion. HOPI : Patient was apparently asymptomatic 5 days back, then he developed, High grade fever with chills, intermittent in nature, relieved on medication and was associated with headache. Altered sensorium since 2 to 3 hours (not talking and not working properly). No urine output since morning on 24-3-22 No history of burning micturition, vomitin...