A 31 years old female,who is a house wife ,came from janagon district with complaints of Cheif complaints : Deformity of bilateral knuckles Loss of sensation in upper limb and lower limb with neck five days back Came for management HISTORY OF PRESENT ILLNESS: Patient was apparently asymptomatic 1 year ago,and then she developed pain in right hand follow by ulnar deviation of fingers at second metacarpalophalengeal joint and progressed to 3rd,4th and 5th metacarpalophalengeal joint in a period of 1 month. She developed pain in the joints : bilateral wrists bilateral elbow Bilateral shoulder joints Bilateral ankles Bilateral knees No pain in toes She also developed swelling of her bilateral soles because of which she was unable to walks She went to a rmp for which she was given some medicine and used during which pain decreased later on when she stopped those medication she again developed pains all over the joint She used on and off when ever she...
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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