MEDICINE LOG BOOK - by SAI VITTAL Roll.no. 60

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 - centred online learning portfolio and your valuable inputs in the comments.  A 25 year old female tailor by occupation from Thummelagudam came to OPD with chief complaints of 1. Vomiting 2. Loose stools since morning History of presenting illness : - She was apparently asymptomatic few hours back then she developed vomiting  - It was sudden in onset , non bilious , non projectile , 20 episodes , mainly water as content - It was associated with burning type of pain abdomen involving all the quadrants - Loose stools of 6 episodes , watery in consistency , not associated with b

  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 - centred online learning portfolio and your valuable inputs in the comments. A 50 year old female home maker resident of Nalgonda , came to OPD with chief complaints of  1. Pain 2. Stiffness in several joints since 3 months History of presenting illness : - Patient was apparently asymptomatic 10 years ago , then she developed a dull aching type of pain & stiffness in her metacarpophalangeal joints in her right hand which is associated with limitation of movements at the joint - Then within 6 months of onset , it progressed to involve other joints of the right & left