General medicine

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 comments on comment box is welcome. I've 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 prognosis A 45year old male who is a resident of nakrekal came to opd with  CHIEF COMPLAINTS-  C/o itchy skin lesion on left foot since 10 yrs which initially started as a papule  C/o pain in the abdo

This is an online e-log platform to discuss case scenario of a patient with their guardians permission.  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 histoty, clinical findings, investigations and come up with a diagnosis and treatment plan. Case: A 38 year old female came to opd with the chief complaints of  Fever since 2 months associated with chills. Difficulty during deglutition for 3 days. HISTORY OF PRESENT ILLNESS:  Patient was apparently asymptomatic 2 months back , then she developed fever ( intermittent in nature) associated with chills for which she went to a local hospital and it was relieved on medication ( temperature rise was usually in the evenings around 4pm). Rise of temperature was present once for every 3 days.  4 days back, patient again developed fever associated with chills and also had complaints of difficulty in deglutiti