ACTIVE CLINICAL LEARNING - GENERAL MEDICINE

NOTE: The following E-log aims at discussing our patient de-identified health data shared after taking the guardian's signed consent.  Here we discuss our individual patient problems through series of inputs from available global online community of experts with an aim to solve the patients clinical problem with current best evidence based input. This E-log also reflects my patient's centered online learning portfolio.           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 a diagnosis and providing treatment                best to our skills and wisdom.            The patient/ attender was informed the purpose of the information being            acquired. An informed consent was taken from patient/ attender and                 

29/M presented to General Medicine OPD for routine check up.  History : Patient got married in 2021 and in June 2022 he got swelling in right side of neck around cervical region. Swelling was insidious in onset and gradually progressive. On consultation he had FNAC done and diagnosed as extra pulmonary tuberculosis. Previous reports are not present as patient threw them. He was put on medication for tuberculosis from June 2022 to March 2023 that's for 9 months.  In September 2023 patient was planning to conceive for which he got his full body check up where his ALT, AST and ALP were raised. Due to some engagements he didn't approach medical care. Then in November 2023 he came to our hospital with same reports (attached below).  Daily Routine  5 am : he wakes up  6am : he signs in for work and also takes one egg with one glass of milk.  8 am : he takes breakfast sometimes idli sambhar and some times dosa sambhar.  11am: he takes juice 1pm : he takes lunch one plate rice, dal and

1. Charan sir   Case - SLE Link -  https://drsaicharankulkarni.blogspot.com/2022/12/20f-sle.html 2. Rohit sir (2018)  Case - SLE Link - https://159rohithreddy.blogspot.com/2023/04/35-yrs-old-male.html 3. Manvi Ma'am (2018)  Case -  Dermatomyositis  Link - https://manvisharma88.blogspot.com/2022/03/35-yo-f-with-bl-pedal-edema-sob-and-bl.html 4.  Vagisha  (2019) Case - Rheumatoid Arthritis  Link - https://vagisharani.blogspot.com/2023/08/59-year-old-female.html?m=1 5. Asjad  (2019) Case - Rheumatoid Arthritis with Pyoderma Gangrenosum and SLE Link - PaJR link : https://chat.whatsapp.com/FGlVATIcOlrJD1xGxO1RaQ https://asjad24.blogspot.com/2023/09/note-following-e-log-aims-at-discussing.html https://asjad24.blogspot.com/2023/10/a-case-of-sle-presented-in-october-2023.html PaJR link :  https://chat.whatsapp.com/DPv5cw25MbwBMgtuqkARiM 6. Sipra  (2020) Case - CIDP Link - https://siprapattnaik.blogspot.com/2023/06/the-following-e-log-aims-at-discussing_7.html 7. Shreya  (2020) Case - RA Li

BIOPSYCHOSOCIAL HISTORY OF A 25 F PRESENTED WITH FEVER AND MULTIPLE SKIN LESIONS OVER BOTH LEGS  WITH  SUSPECTED  SYSTEMIC LUPUS ERYTHEMATOSUS Case blog link : https://asjad24.blogspot.com/2023/10/a-case-of-sle-presented-in-october-2023.html PSYCHOLOGICAL HISTORY : Before Disease : Patient was brought up in a rural background with her father working as a stone cutter. Due to financial constraints and social backwardness she couldn't even attain the primary education. Although her family had financial crisis, there was no stress in the family.  She got married at an early age of 17 years(2015) and two children at 20(2018) and 23(2021) respectively which overburdened her shoulder with responsibilities at an early age. After that she started working as a daily wage worker with her husband.  During her second pregnancy she got rashes over her both the cheeks but she wasn't  worried about that and after labour she didn't even pay heed to it. She had cheerful marital life.  No h/

  NOTE: The following E-log aims at discussing our patient de-identified health data shared after taking the guardian's signed consent.  Here we discuss our individual patient problems through series of inputs from available global online community of experts with an aim to solve the patients clinical problem with current best evidence based input. This E-log also reflects my patient's centered online learning portfolio. 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 a diagnosis and providing treatment best to our skills and wisdom.  The patient/ attender was informed the purpose of the information being acquired. An informed consent was taken from patient/ attender and there is omission of information that was requested to be omitted.  A 25yr old female patient , prese