E-LOG MEDICINE CASES

    25/7/2023. 14 year female child who is k/c/o sickle cell anemia came with c/o fever and swelling of left upper limb and right lower limb associated with pain since 3 days  Fever which is of high grade not associated with chills and rigors , cold ,cough, sore throat, chest pain , palpitations,sweating,abdominal pain,vomitings,diarrhoea,decreased urine output . No h/o hematuria , melena,bleeding gums,petechia,menorrhagia . HISTORY OF PRESENTING ILLNESS: Patient was apparently asymptomatic 11 years ago (1/4/2012) when she was 3 years old she was admitted in the hospital with c/o fever , cough, vomitings she was diagnosed to have sickle cell anemia (Hb electrophoresis was done) and was given blood transfusion and treated with Inj ampicillin and folic acid  2. On 23/9/14  She was taken to the hospital with complaints of fever, cough ,cold since 1 week and diagnosed with bronchopneumonia ( chest x ray showed left lower lobe consolidation). She was treated with Inj Augmentin and whole blo

  This is 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 patients 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 comment box is welcome. 80 year old male has come to urology opd with c/o : Nocturia since 2 months Poor urinary stream since 2 months Urge incontinence since 2 months  Hematuria since 3 days Dysuria since 1 day  Patient was apparently alright 2 years ago, then he developed acute urinary retention. He was catheterised and is on foley’s since then.  Since 2 months, he developed nocturia.   Poor stream +  Dribbling +  Urgency +  Urge incontinence + Hematuria since 3 days + Not associated with passage of clo

This is an 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 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 diagnosis and treatment plan.   CASE: Patient is a 65 yr old male with  chief complaints of sob since 15 days , abdominal distension, pedal odema since 1 week. HOPI: Pt was apparently asymptomatic 15 days ago then he developed shortness of