GENERAL MEDICINE

This is an online E logbook to discuss our patients' 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 patients' clinical problems with the collective current best evidence-based inputs. This e-log book also reflects my patient-centred online learning portfolio and your valuable inputs on the comment box are welcome.  Name: Dr Sreshta  2/2/23 45 YEAR OLD MALE CAME WITH THE  COMPLAINTS OF GIDDINESS SINCE ONE DAY COMPLAINTS OF DOUBLE VISION SINCE MORNING COMPLAINTS OF DIFFICULTY IN SWALLOWING SINCE MORNING COMPLAINTS OF WEAKNESS OF LEFT LOWER LIMB AND INABILITY TO WALK SINCE MORNING HOPI: PATIENT WAS APPARENTLY ASYMPTOMATIC 10 YEARS AGO WHEN HE DEVELOPED FEVER FOR WHICH ROUTINE INVESTIGATIONS WERE DONE AND HE WAS DIAGNOSED WITH DIABETES MELLITUS TYPE II AND IS ON ORAL HYPOGLYCEMI...

This is an online E-log book to discuss our patient de-identified health data shared after taking his/ her guardians sign informed consent Here we discuss our individual patient problems through series of inputs from available Global online community of experts with an aim to solve those patient clinical problem with collective current best evidence based inputs. This E-log also reflects my patient centered online learning portfolio. Your valuable inputs on comment box are welcome Name: Dr Sreshta J Complaints of involuntary movements of both upper and lower limbs 2 hours ago Timeline of events: Hopi: Patient was apparently asymptomatic 2 hours ago then she had involuntary movements of both upper and lower limbs that lasted for 5 minutes. Frothing present No tongue bite No loss of consciousness Post ictal confusion present No involuntary urination or defecation 2 episodes of active seizures after coming to casualty which lasted for 5 minutes, 1 hour apart  Past illness:...