Medicine-e-logs by Parvez Ansari

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.  Cheif complaints 59 Y came with cheif complaints of pains in finger joints, wrist joint, ankle joint for the past 22 years HOPI in 2000s ,he got swelling at 1st MTP with severe pain , swelling developed in a day  , joined in a hospital for 10 days but no diagnosis , then after the swelling subsided another leg got swelling .sometimes both at once usually aggravates after heavy dinner ( mutton ,fishes, tamarind, curd) could not sleep that day. involved all other limbs 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.  CHEIF COMPLAINTS 57 Y/M came to casuality with complaints of gemeralized weakness for 1 month, fever for 1 week and altered semsorium for for 3 days Patient was apparently alright for the past 1 month since then he has been complaining of generalised weakness. Since 15 days he has been feeling cold even in hot weather and has been switching off all the fans in the house.  He has been suffering with constipation since 10 days. Has not passed stools at all(confirmed by t