Ananya Pulikandala

This is an a online e log book to discuss our patient de-identified health data shared after taking his / her / guardians signed informed consent. Here we discuss our individual patients problems through series of inputs from available global online community of experts with an aim to solve those patients clinical problem with collective current best evident based input This E blog also reflects my patient centered online learning portfolio and your valuable inputs on the comment box is welcome. The patient/ attender was informed the purpose of the information being acquired. An informed consent was taken from patient/ attender and there is omission of information that was requested to be omitted.   65/yr Male  came  the casuality with the  C/o :Bleeding from the B/L nasal cavities( R>L) : 1 week HOPI: Patient was apparently asymptomatic 1 week back then he developed  B/L  nasal bleeding, sudden onset, profuse, Subsided after going to RMP and taking...

 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 patients' clinical problems with collective current best evidence-based inputs. The patient is a daily wage labourer who lives in a rural setup. CHIEF COMPLAINTS ;  Patient was admitted to the ICU on 27/9/22 at 12noon with bilateral   Pain in the upper and lower limb joints and tenderness of skin over surrounding tissue areaarea with early morning stiffness.  HISTORY OF PRESENT ILLNESS; Patient was apparently asymptomatic 5months ago then she developed pain of both the knee joints  and swelling  followed by the ankle joints and nail bed. Pain  - sudden in onset, gradually increasing in intensity, dragging type of pain , aggravates at night with numbne...

 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 patients' clinical problems with collective current best evidence-based inputs. Patient is a weaver by occupation living in a rural setup.   Chief complaints : Patient came to opd at 12 am with seizures( in an unconscious state).  History of presenting illness: Patient apparently asymptomatic the night before admission. He had come along with his mother for a general check up( his mother had pedal edema). Patient went to sleep around 9pm at night and an episode happened around 12am midnight. The seizure characterised of involuntary movements of hands and legs and horizontal movements of head continuously. The episode lasted for about half an hour.then he was admitted and a...

 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 patients' clinical problems with collective current best evidence-based inputs. Our patient is a 70 year old farmer living in a rural setup.  Chief complaints :  Patient was admitted in the ICU on 9/9/22 in the afternoon with complaints of SOB on doing activities ( walking), easy fatiguability? and pedal edema.  History of presenting illness: The patient had already consulted a local  hospital for his pedal edema for which he was  given IV? And the pedal edema subsided after passing urine.  History of past illness He also tells  that he has recurrent episodes of fever and associated SOB since past 3 years. He used to take tablets and the fever would su...