usha internship elogs

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. Here is a case i have seen: A 45 year old man, working as an auto rickshaw driver, presented with a 10 day history of worsening breathlessness and generalised edema.  The patient's first recall of medical problems began well over an year ago, when he first noticed an indolent breathlessness, which he felt was unusual to his daily activity - auto rickshaw driving. He remembers that his breathlessness was associated with heavy palpitations and mild sweating.The patien...

A 39 year old man presented with complaints of abdominal distension, bilateral pedal edema, and decreased urine output since 20 days. Patient works in vegetable market and has 2 children(1 son and daughter) .History of fever since 20 days on and off for 3 days. Patient earliest recall of events dated 20days back, where he attended a marriage, his symptoms started after intake of alcohol. He developed low grade fever for which he used medication for 2-3 days and noticed abdominal distention on not subsiding.They visited gastroenterologist and was advised admission.The patient denied any admission as he would continue medication on opd basis. 2 days later on further worsening he was admitted in another hospital and was told he had kidney infection (in his words ) and was admitted on not improving and with increasing trend of creatinine levels,the patient was advised dialysis and was reffered to kamineni. History of alcohol intake present since 15 years which is around 3-4 times a week a...

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. Here is a case i have seen: 55 year old man presented to the casualty with the complaints of Unable to move his right upper limb since 9am yesterday recurrent episodes of seizures since 9 15am yesterday. Patient works as a maestri near Nalgonda. He is married to a farmer and has 3 children. His elder son works at a poultry farm, his daughter works as a teacher at a local government school and his youngest son has traumatic paraplegia since 2 years. He has been an alcoho...

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. Here is a case i have seen: A 45 year old woman , working as a farmer presented with complaints of          pain abdomen 2 days back vomiting since 2 days Lower back pain since 1 day She attained menarche at 15years of age and  got married to a farmer when she was 17 years old.  Her husband had to go to jail after he got into a fight with his neighbours. She has no children.  She was apparantely alright  until 10 years  back af...