Munukutla Sai Mythili

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 50 year old tailor from nalgonda came to opd  PRESENTING COMPLAINTS: Tingling and numbness in right side lower limb upper limb and face since 1 year HISTORY OF PRESENTING ILLNESS: Apparently asymptomatic 4 years back when she developed severe back pain insidious in onset and gradually progressive,which radiated to buttock for which she visited a hospital and was told there was lumbar gap for which she underwent physiotherapy The pain reduced from unable to walk ten step 4 years back to occasional...

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 70 year old male who used to be a farmer from chittapuram came to the opd  for  Right joint pain since 4 months HISTORY OF PRESENTING ILLNESS Patient was apparently asymptomatic 2 years back when he noticed Blurred vision since  bilateral eyes No history of headache        Loss of color vision       Photopsia  4 months back when he had an sudden episode of shaking of fingers, numbness of fingers Stuttering of speech out of which shaking of finger ...

“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 45 year old male a daily wage labourer by occupation ,resident of nalgonda came to the opd  CHIEF COMPLAINT Dialysis(MHD)  History of presenting illness The patient was apparently asymptomatic 2 years  back when he had experienced weakness in right lower limb, upper limb and numbness in lips which initially stayed for half an hour. Upon walking it relived but again presented the next morning,so was admitted to a hospital where it was  considered as cva revealed that he had high cr...

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 ...

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 global online community CHEIF COMPLAINTS 35 year old female came with cheif complaints of -Diminision of vision of right eye since morning 3am -Headache since 2 days HOPI Patient was apparently asymptomatic 2 days back then started developing diffuse headache sudden in onset,gradually progressive associated with neckpain  No H/O nausea and vomiting,photophobia,phonophobia Then since morning 3am had sudden painless loss of vision No H/O ocular trauma or head trauma No H/O giddiness,LOC,weakness of both UL and LL No H/O fever,cough,cold,chestpain,palpitations,orthopnea,PND PAST HISTORY: H/O some insect bite 2 months back and took herbal medication N/k/c/o DM,HTN,Epilepsy  K/c/o hypothyroidism since 5 years and on tab.thyronorm 100 mcg. GENERAL EXAMINATION...

A 28 year old female from Sagar ,a farmer by occupation presented to the casuality with Chief complaint Shortness of breath since 3 days Tingling and pain in wrists bilateral since 3 days Epigastric pain since 3 days History of presenting illness Patient was apparently asymptomatic  When she developed sob grade 4 She was just sitting when it suddenly started Immediately she also developed tingling sensation along with pain and was unable to extend the wrist Past history N/K/C of  Diabetes Hypertension Tuberculosis Asthma Menstrual and obstetrics history Married 12 years ago 3 kids First child Male - 10 years Lscs Birth 2.5 kg No NICU Full term Second child Male - 5 years Lscs Birth 3 kg No NICU Full term Third child Male - 2 years Lscs Birth 2.5 kg No NICU Full term Uneventful pregnancy Personal history Diet normal  appetite normal  micturition normal Normal bowel movements Normal sleep Addictions none FAMILY HISTORY: - No significant history Provisional ...

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 45 year old gentlemen who was a farmer from suryapet came to the hospital with chief complaint of Cheif complaint Decreased urine output Right sided lower abdominal pain  since 10 days History of presenting illness Patient was apparently asymptomatic 4 years back Then he developed pain in right knee which was  gradual ,progressing, nonradiating, dull in nature Pain was not aggravated while sitting or bending After 1 month there was decrease in knee pain and then ankle started to pain There w...