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Assignment A). What is the problem representation of this patient and what is the anatomical localization for her current problem based on the clinical findings? Ans: problem presentation in order of priority at  the time of admission: 1)altered sensorium with irrelevant talk since 1 day 2)neck pain with headache since one month which worsened for the past 8 to 15 days 3)vomitings since one week 4)low grade fever since one week 5)generalised weakness with decreased appetite since one month anatomical localisation of current problems Brain-meninges and ?frontal lobe, due to altered sensorium B)What is the etiology of the current problem and how would you as a member of the treating team arrive at a diagnosis?  Please chart out the sequence of events timeline between the manifestations of each of her problems and current outcomes. b) Etiology: CVA , TB Meningitis , SLE vasculitis ,SIADH secondary to infection.   Initially the first on-call team thought it was Hyponatre...

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 also reflects my patient-centered online learning portfolio. Patient was brought to causuality at 1am with c/o chest pain since 2 hrs,pricking type ,continuous.  Non radiating associated with pain in epigastrium .  No sob,cough ,palpitations ,seatings, giddiness. Pt complained of b/l leg swelling and multiple joint pains bilaterally symmetrical for both UL and LL since 5months back and c/o early morning stiffness and Restriction of movements associated with neck pain and jaw pains went to hospital in nalgonda where they said there was sugars in blood and urine. Then she felt bette...

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 also reflects my patient-centered online learning portfolio and your valuable inputs on the comment box is welcome. Here is a case i have seen: 55 year old male patient,farmer by occupation came with c/o sob (grade2 to grade 3) according to NYHA classification since 20 days  C/o  cough since 20 days  C/o pedal edema since 20 days  C/o fever since 7 days  Patient was apparently  asymptomatic 3 yrs ago(in 2017) then he developed Sob which exaggerated on working and walking for long distance in  the fields and cough ,which is progressive in nature, associated...

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 also reflects my patient-centered online learning portfolio and your valuable inputs on the comment box is welcome.  CASE PRESENTATION: A 18yrs old female student,  unmarried came with c/o  Fever a/w chills since 15days Pain abdomen since 15days Excessive menstral bleeding Pt was apparently asymptomatic 3 yrs back when she started her work in the feilds for the first time in 2017 when she was in 10th standard, she managed to go to fields for farming and planting in their paddy fields working 6hrs a day in feilds(10am-4pm) with a rest of 1 hour. Started observing bleeding thro...