Medicine cases

  Gm final practical short case: February 2, 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 best evidence based inputs. This e-log book also reflects my patient centered online learning portfolio and your valuable inputs on comment box is welcome    18 year old girl presented to the opd with chief complaints of fever since 2months  joints pain since 2months ,   vomitings since 2months back ,  headache along with fever episodes since 2months,    pain  in the abdomen since 5days back. History of present illness: Patient was apparently asymptomatic 2months back ,then she developed fever following after fever subsides pt started having pain in the small joints PIP,DIP,MCP subsides w

  Final practical long case This is an online E-log book to discuss our patients de-identified health data shared after taking his /her/ guardian informed consent here we discuss our individual patients problems through series of input from available global online community of experts with an aim to solve those patients clinical problems with collective current best evidence based inputs. Date of admission - February 3  43 year old female patient presented to the opd with chief complaints of low backache since 2 days, vomitings and pain in the abdomen since 1 day.  History of present illness- Patient was apparently asymptomatic since 6 years back , then she had anasarca for which she was admitted in hyderabad. There she was diagnosed with hypothyroidism ( tab. Thyronorm 50 micrograms  ),renal failure (tab. Torsemide 20 mg+spironolactone50mg) and diabetes mellitus for which she was on injection Mixtard and increased in doses since 1 and half year.  Now she presented to the opd with pain