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 patients clinical problems with collective current based inputs. CASE  50 year old male with  ▪weakness of both lower limbs   and slurring of speech since 5 days HISTORY  OF PRESENTING  ILLNESS  Patient had a history of fall 1 year ago and he did not take any treatment for it and was alright for 8 months then 4 months back he had pain in right hip which was insidious in onset and gradually progressive in nature   since 1month there was change in the gait of patient which was noticed by his relatives and there is hematuria for 5 days which he has neglected For which he consulted local doctor and diagnosed avascular necrosis of of femur for which he has given medication After taking m

    " 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 Dt. 06.06.2022 CHIEF COMPLAINTS 80 years old male resident of marrigudem, agriculture labourer by occupation came to OPD with the chief complaints of  i) Fever - since 3 days ii) Decreased urine output associated with burning micturition since - since 2 days     History of presenting illness patient is apparently asymptomatic 3 days back.  I)He has Fever :   insidious in onset  Gradually progressive  with no diurnal variations  Relieved on medication Associated wi