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 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 comments on comment box is welcome.  ————————————————————————————————— Case details A 45 year old male has presented with the casuality with the chief complaints of sudden onset shortness of breath on 2nd June 2021 History of presenting illness The patient was apparently asymptomatic till June 2nd . Then he developed  grade 4 SOB  which is of sudden onset. There was a history of  orthopnea No history of fever, cough, cold, sore throat, loss of appetite, chest pain, palpitations, giddiness, sweat...

“This is an online E log book to discuss our patient’s de-identified data shared after taking his/her/guardian’s signed informed consent” MBBS FINAL SHORT CASE ————————————————————————— 35 year old male patient, resident of ramchandrapuram, works as a daily wage labourer, a chronic smoker (1 pack of beedi every 2 days) and a chronic alcoholic (90ml daily) since 20 years presented with a 3 month history of painless papules with erythema that started initially over the face then gradually extended to upper limb, low limbs and trunk  No hypodense lesions  No fever  No pus No loss of sensations No genital lesions  Patient got over the counter  topical cream, soap and some oral drugs from nearby medical shop  He used them for 2 months, few lesions regressed but few persisted on nose, ear lobe, hands, legs and trunk. 14 days ago patient developed blackish skin discolouration over hands and feet with skin peeling, cracking, ulcer formation associated with burning ...

“This is an online E log book to discuss our patient’s de-identified data shared after taking his/her/guardian’s signed informed consent.” FINAL EXAM LONG CASE ———————————————————————————— A 50 year old female patient a resident of Nalgonda, home maker came to the OPD with chief complaints of pain and stiffness in several joints since 1 year. History of present illness : She was apparently asymptomatic 10 years ago, then she developed a dulling aching type of pain and stiffness in her finger joints(MCP joints) of right hand with limitations of movements at the joints.  Then within 6 months of onset the disease progressed to involve other joints of the right hand and left hand as well(wrist joint and elbow joint)  Within 4 years of onset she started feeling pain in the joints of the feet and ankle joint.  Since 3 months the pain became unbearable limiting  her activities The pain was insidious in onset, slowly progressive dull aching type of pain, non radiating, assoc...

Case of a 42 year old female with multiple health issues. Presented by: ANJALI YERRABELLY (06) Present complaints:     *Migraine     *Swelling mostly face and abdomen     *Sleep disturbances     *fatigue     *Increased tolerance to pain History: 1. MIGRAINE:  Sudden, gradually progressive more on left side head ache started at 2 years of age * Associated with: Aura numbness of left hand and left side of the face feeling of rotation and spinning while sleeping on left side.   INVESTIGATIONS: * CT and MRI of brain: brain tumours, stroke, TIA * CSF analysis: infections * EEG :seizures * Magnetic Resonance Angiography:TIA * Intracranial pressure TREATMENT: triptans like sumatriptan dihydroergotamines anti nausea medications 2. SWELLING: The patient gave a history of swelling of face and abdomen since she was a 1 year old and continues on and of till date. Triggers factors for edema include emot...