Sushma

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: 70 yr old female came with c/o fever associated with chills since yesterday morning. She was apparently asymptomatic till yesterday morning.at 6 am pt. had one spike of fever associated with chills,high grade fever,relieved on taking medication with severe sweating.Again she had another spike of fever at 8 pm in the evening associated with chills,so they took her to near by hospital,there BP was recorded as SBP-230 and taken nifedipine sublin

  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: 58 year old male,daily labourer by occupation came with  c/o inability to move right upper and lower limb since yesterday evening  Aphasia since yesterday evening  Deviation of mouth to left side  Altered sensorium + History of present illness: Patient was apparently asymptomatic till yesterday evening and was brought home by outside people around 6pm where there was a sudden history of fall with inability to lift right upper and lower limb

  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: 50 year old male farmer by occupation came with chief complaints of ? GTCS type of seizures 2 episodes 2days back He was apparently asymptomatic 6 months back. History of present illness:  He had ? GTCS type of seizures 1st episode on saturday morning around 1am lasting for 5 to 10 mins starting from left hand and later ?generalised with 2-3 mins of post ictal confusion  Blurring of vision + Uprolling of eyeballs + Loss of consciousness + N