Shiva Shankar posham roll no 125

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 A 36 year old male salesman by occupation resident of West Bengal came to OPD Chief complaints: Reccurent episodes of vomitings associated abdominal pain since 2 months History of present illness: Patient was apparently asymptomatic 2 months back then he developed vomitings after 3-4 hours of taking food which was insidious in onset and is gradually progressive. The contents are food particles which is non blood stained and non bile stained. Aggrevated on taking food and no relieving f...

CBBLE PAJR PARTICIPATORY LEARNING ACTION RESEARCH Title: My Journey in the General Medicine Department: A Student's Perspective (2018-2023) DISCLAIMER  NOTE: THIS IS AN ONLINE E LOGBOOK 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 A SERIES OF INPUTS FROM THE AVAILABLE GLOBAL ONLINE COMMUNITY OF EXPERTS INTENDING TO SOLVE THOSE CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE-BASED INPUT In the case-based blended learning ecosystem (CBBLE), I had great experiences studying general cellular and neural cellular pathology. I learned about cellular changes in different diseases and how they affect the body. The case-based approach helped me apply my knowledge to real-life situations, improving my diagnostic skills and critical thinking. Collaborating with classmates and receiving feedback from instructors made the learning process engaging an...

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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. Cheif complaints: Patient came with cheif complaints of chest painbon and off since 1 year HOPI patient was apparently asymptomatic 1 year back then she developed chest pain in the mid chest behind the sternum dragging type, non-radiating associated with palpitations ( the patient explained that she started experiencing this since her husband was affected by a stroke 1 year ago) No h/o of vomiting, shortness of breath,heartburn,giddiness, sweating,headache Patient also complains of neck pain si...

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. CHIEF COMPLAINTS:- Patient came to casuality with c/o Fever since 3 days HISTORY OF PRESENT ILLNESS:- Patient was apparently normal 3 days back, he then developed fever which is high grade, intermittent, associated with chills and rigor with evening rise of temperature Fever associated with headache, generalised body pains and generalised weakness Pt c/o burning sensation of eyes, loss of apetite SOB on exertion(grade 2) since 3 days  No c/o cold, cough, pain abdomen, b...

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 This is a case of a 60 year old male who came with complaints of 1. pedal edema since 1 week 2. tingling sensation of lower limb since 1 week 3. polydipsia since 1 week History of presenting illness:- Patient wa...

CASE 35 yrs old Male resident of LB nagar, occupation sugar dealer came to opd with chief complaints of blood in the stools ,SOB ,easy fatigability ,itching all over the body since 1mn.   HOPI : Patient was apparently asymptomatic 1mn back then he observed blood in the stools not associated with pain during defecation . He complaints of easy fatigability,SOB while doing work and lifting little weights also. History of itching all over the body ,due to itching there are small hyperpigmented patches on both upper and lower limbs since 1mn. PAST HISTORY : Similar complaints 1 yr back (blood in stools for 15 days) N/k/c/o Hypertension, diabetes,asthma, epilepsy,CAD DAILY ROUTINE : He wakes up at 5 am and does his daily routine ,eats breakfast at 8:30 and goes to work at 9am , afternoon he takes alcohol and comes home and eats lunch and sleeps until 5 or 6pm ,then again he goes out , drinks alcohol and comes home and does his dinner and goes to bed at 10 pm. PAST HISTORY: Similar c...