Medicine log book by Abhigna

  This is an online e-log book to discuss our patient's de-identified health data shared after taking his/her/guardian's 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.  A 45 yeasr old female patient housewife by occupation  presented to opd with weakness of lower limbs since 3 months and inability to walk since one and half month complaints of pain and inability to  extend her right lower limb since one and half month  HISTORY Of PRESENT ILLNESS Patient was apparently asymptomatic 18yrs back then she noticed a small swelling in the neck region and which gradually increased in size 3months ago. She was having difficulty in positioning of her feet while walking and even had slippage of footwear.2 months ago she slipped and fell in bathroom and fractured her right ankle joi

  This is an online e-log book to discuss our patient's de-identified health data shared after taking his/her/guardian's 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.  A 40 year old male presented to opd with chief complaints of pain in right loin region and right iliac region since 4 days  Fever since 7 days  1 episode of vomiting before admitted  Cough presents for 20mins at night  Burning micturition slowly since 6 months    HISTORY OF PRESENT ILLNESS :   Patient was apparently asymptomatic 1 week ago later he developed pain which is sudden in onset , dragging type started at loin region shifted to flank and front side   Fever which is sudden in onset , intermittent type , stepladder , associated with chills and rigors and sweating decreased on medication  Vomiting w