Lets start off with a salutations HELLO ! I am Mythili a novice to the never ending World of medicine. Being an undergraduate from the country of India, I present my understanding,or rather the difficulties I faced during the herculean task of accurate diagnosis. During the course of my curriculum l have learnt that the accuracy of initial diagnosis is critical and forms the fundamental for treatment So join me on my journey as I try to master the art of diagnosis. CBBLE PAJR PARTICIPATORY LEARNING ACTION RESEARCH DISCLAIMER NOTE: THIS IS AN ONLINE E LOGBOOK 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 A SERIES OF INPUTS FROM THE AVAILABLE GLOBAL ONLINE COMMUNITY OF EXPERTS INTENDING TO SOLVE THOSE CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE-BASED INPUT. Let me tell you about the patient who has helped me open my eyes to the world ...
Hello Everyone! I am Mythili, a 2 nd year MBBS student and I have chosen to explore a case of CHOREA through this year's clinical problem solving conference The following is the link for this semi structured case: (http://snehakalyankar.blogspot.com/2021/12/chorea.html) My objective for today would be to *Prepare a problem list and Identify the patient problem solution requirements in terms of priority *Suggest current standard evidence based solutions (mentioning the RCT evidence available in a PICO format) *Suggest innovative solutions (mentioning how they may design an ethical trial to scale their proposed innovative solution MAKING A PROBLEM LIST Let us understand the entire problem by using a time line The problems can be classified as The problems patient came to us with( abnormal movements, behavioral problems, ulcers, fever) The problems we found through investigations (Increased copper Secretary leve...
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 reflects my patient centered online portfolio and your valuable inputs on the comments is welcome.” A 61 year old male resident of Ramulapeta,yadadri dist who is a daily wage labourer in construction work came to the hospital with complaint of CHIEF COMPLAINTS Dry cough since 10 days Dragging pain towards the finger tips since 10 days Lower back pain since 10 days Shortness of breath Grade 2 -grade 3 Chest pain near heart since 10 days HISTORY OF PRESENTING ILLNESS PATIENT WAS APPARENTLY ASYMPTOMATIC 3 YEAR AGO WHEN He noticed involuntary movements of upper right limb at rest and de...
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