Munukutla Sai Mythili

Hello everyone I'm mythili, an aspiring final year medical student presenting an osce report after garnering the patient informed consent Let's start off by learning the brief history about the patient A35 year old female came with cheif complaints of -Diminision of vision of right eye since morning 3am -Headache since 2 days Delving more into the history Patient was apparently asymptomatic 2 days back then started developing diffuse headache which was 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 What was her last final diagnosis?  The final diagnosis  is CRVO Complete retinal venous occlusion  CRVO? How was the diagnosis made?  Upon opthological examination Dot blot hemorrhage Macular edema Wh...

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. Patient came to gm OPD with chief complaints of swelling in feet and abdomen since 2 days HOPI : patient was apparently asymptomatic 2 years back then he developed jaundice After many attacks he visited our hospital  And developed edema in lower limbs pitting type insidious in onset gradual in progression and then he developed swelling in abdomen insidious gradual progression h/o nausea ,tiredness after eating h/o sleeplessness from 2 weeks h/o nervousness in hands Tingling sensation in hands  ...

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 ...