General Medicine E - log by Kehkashan Tabassum [Roll no: 38]

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. A 53 yr old male patient of daily worker by occupation came to OPD on 18/01/2023. HuCheif complaint: The patient came to casualty with a cheif complaint of : -Fever since 4 days  -Abdominal discomfort and bloating since 4 days -constipation and no passage of stools since 4 days. History of present illness: -Patient was apparently asymptomatic 4 days back, then he developed high grade fever which is intermittent and associated with chills and rigors, headache and constipation. -He al

This is an online e-log platform to discuss case scenario of a patient with their guardians 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. Chief Complaints : A 18 year old female who is a student, came to the casuality on 03.01.23 with chief complaints of: - shortness of breath since 2days - fever since 1 week - pain and swelling in the perianal region since 10 days History of present illness: The patient was apparently asymptomatic 6 years ago. Course of events: 6 years ago: She went to a nearby hospital because of her weakness, polyuria, polydipsia, polyphagia, and weight loss; while there, her GRBS was high and she was diagnosed with diabetes; she then started using insulin injections. Injecction mixtard 20U - x- 15U. In between due to raised