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2nd internal assessment

 
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60 year old female with convulsions

  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. A 60 year old female, resident of Nalgonda district, farmer by occupation, presented with  CHIEF COMPLAINTS: Involuntary movements and loss of consciousness  HISTORY OF PRESENTING ILLNESS Patient was apparently asymptomatic 20 years ago, when she

INTERNAL ASSESSMENT

 

45yr old male with diabetic foot

This is 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 patients’ clinical problems with collective current best evidence-based inputs.   A 45year old male patient, resident of AP lingotam, was presented to the casualty with chief complaints of CHIEF COMPLAINTS  Excessive sweating for 1 day Altered sensorium for 1 day HISTORY OF PRESENTING ILLNESS the patient was apparently asymptomatic 10 years ago when he was diagnosed with DM. Since then he is on medication, OHAs.  6years ago, he developed an ulcer on his left foot, little toe, which got infected.it became gangrenous because of which they amputated the little toe. 8 months ago he developed similar leisons again in left foot and 4th toe was amputated. 3 months back, the patient was pricked by a thorn