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This is an online e-log platform to discuss case scenarios of a patient with their guardian's permission. I have been given this case to solve in an attempt to understand the topic of patient clinical data analysis to develop my competency in reading and comprehending clinical data including, history, clinical findings, investigations, and come up with a diagnosis and treatment plan. A 21 year old male came to the OPD with complaints of  fever since one week. abdominal pain and distention since one week. loss of appetite since 1 week. HISTORY OF PRESENT ILLNESS: Patient was apparently asymptomatic one week ago then he developed fever which was High grade and intermittent and relieved on medication abdominal pain and distention since 1 week -no history of vomiting , loose stools -no history of headache He got treated in a local hospital for 4 days for fever and he was referred to KIMS Narkatpally as his platelet count was low. HISTORY OF PAST ILLNESS Not a known case of Diabetes Mel...

I'm a final year medical undergraduate bearing the hall ticket number-1601006069. I've been allotted with this following de-identified case to present on the day of the final practical exam, so I've contacted the patient and took the verbal consent to take the history and to examine the patient.  This E log also reflects my patient center’s online learning portfolio and valuable inputs on the comment box are welcome. A 46yr old female, housewife resident of Nalgonda came to the hospital with chief complaints of shortness of breath since 5days  History of present illness:   She was apparently asymptomatic 5days back then she developed shortness of breath which was insidious in onset, gradually progressive, aggravated on lying down, and relieved on medication. Associated with wheeze , paroxysmal nocturnal dyspnea Anasarca since 5days and cough with expectoration since 5days which is insidious in onset. Past History: K/c/o COPD since 12yrs. General examination: Raised J...

Hall ticket no : 1601006069 GENERAL MEDICINE LONG CASE 61 year old gentleman who is resident of kangaal,shepherd by occupation came with complaints of pain in abdomen since 10days,fever since 2days. HISTORY OF PRESENT ILLNESS: Patient was apparently asymptomatic 10 days ago then he developed 1. Pain in abdomen      -since 10 days    -It is a diffuse type of pain not associated with      any vomiting and was progressive,dragging      type of pain associated with shortness of breath    - it was non radiating pain with no diurnal     variations         - it was relieved by sleeping sideways. 2.Fever   -since 2 days,low grade ,continuous associated with chills and rigor ,relieved on taking medication No History of Nausea,  Vomiting Loose stools, Melena, decreased urine output, dysuria. PAST HISTORY : -He had yellowish discoloration o...

Let me Introduce myself , I am G.ACHAL RAM currently in final year pursuing MBBS.   My aim of this section is to do a comprehensive assessment regarding the  case provided by our interns. The whole clinical data including history, clinical features and workup is provided in the below link. https://hitesh116.blogspot.com/2020/05/12may-2020-elog-medicine-intern.html?m=1 After exploring the above case , the SUBJECTIVE COMPLAINTS are as follows : Weakness of bilateral lower limbs since 20 days Bilateral edema in lower limbs H/O Difficulty in maintaining posture in squatting position and getting up from that position H/O Difficulty in wearing and holding chappals. On reviewing the chief complaints , focused assessment  on CENTRAL NERVOUS SYSTEM , PERIPHERAL NERVOUS SYSTEM and MUSCULOSKELETAL SYSTEM must be on top priority to come up with a differential diagnosis and near possible provisional diagnosis. DETAILED HISTORY OF PRESENT ILLNESS WEAKNESS Weakness initially started in ...