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A70year old male with altered sensorium

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  This is an online E-log entry blog to discuss and understand the clinical data analysis of a patient, to develop competency in comprehending clinical problems, and providing evidence- based inputs in order to come up with a diagnosis and effective treatment plan to the best of my ability. Name:M.Srilekha Roll.no:77 Batch :2017 A 70 year old  daily wage labourer by  was brought to the casualty on 6th jan with the chief complaints of altered sensorium since one day and fever, shortness of breath and productive cough since 2o days. HISTORY OF PRESENTING ILLNESS: The patient was apparently asymptomatic 20days ago when he went on a sudden alcohol binge for a couple of days following which he developed cough assosciated with sputum (scanty, non foul smelling, non blood tinged and  shortness of breath which was initially  Class 2 ( slight limitation of physical activity) but gradually progressed to class 4 (SOB at rest, unable to carry physical activity without disco...

50 year old male with viral pyrexia

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 Mallannagari.Srilekha roll.no:77 9th semester  This is online E log book to discuss out patients de-identified health data shared after taking his guardian`s 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 patients 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 comments box is welcome. A 50 year old male came to the opd with  Chief complaints of : fever since 3 days  Cold and cough since 3 days  History of presenting illness: The patient was apparently asymptomatic 3 days back and then he had fever which is of high grade and associated with cills and rigors  Cough since 3 days which is sudden in onset and productive with mucoid nature. Not associated with shortness of breath. Cold since 3 days. No history of chest pa...

45 year old male with recurrent seizures

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  45 year old male with recurrent seizures Mallannagari.Srilekha roll.no:77 9th semester  This is online E log book to discuss out patients de-identified health data shared after taking his guardian`s 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 patients 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 comments box is welcome. Chief complaints: A 55 year old male cane to the old with two episodes of seizures in last two weeks.  Shortness of breath since 2 weeks History of fever 10 days back  Vomitings two episodes per day   History of presenting illness A 45 year old male with history of congenital seizure . Later  Episode of seizure could occur while eating or triggered by any emotional stress ,there is no history of...

Roll no:77 Internal assessment -1

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 Q1) define bone density, how it is measured?what are the causes ,clinical features ,diagnosis and management of osteoporosis? https://rishik37.blogspot.com/2021/08/gm-elog-case-7.html Bone density or bone mineral density is amount of bone mineral in bone tissue. —Test used to measure bone mineral density is central dual energy X-ray absorptiometry DEXA. —DEXA scan not only identifies osteoporosis but also monitors the response to osteoporosis treatment. -it is a painless technique. Management : bisphosphonate ALENDRONATE   Q2) what is myxedema coma ?describe its clinical features, diagnosis and treatment of myxedema coma . http://mahithguduri63.blogspot.com/2021/09/myxedema-coma.html( Short notes  Q3) what is diagnostic approach of young onset hypertension and it’s treatment. http://keerthykasa80.blogspot.com/2021/09/a-35-year-old-female-with-hypertensive.html(22nd Q4) how do you clinically localise the anatomical level of lesion in spinal cord diseases. http://sowmya9.b...