MEDICINE CASE DISCUSSION

  MEDICINE CASE DISCUSSION    "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 January 12,2022 ____ SHIVANI THOTA,134 31 year old female, who studied till degree and is a housewife by occupation   came with chief complaints of:  B/L knee pains since 2 weeks Fever on and off since 2 weeks Oral ulcers since 6 months  HISTORY OF PRESENT ILLNESS: Patient was apparently asymptomatic 2 years ago (March,2020) and then she  developed pain in her right shoulder (she could not raise her hand above her shoulders)...

  MEDICINE CASE DISCUSSION    "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 January 12,2022 ____ SHIVANI THOTA,134 CASE:     A 47 old man with fever with chills and neck rigidity fever  headache  Slurring of speech Gait abnormality   HISTORY OF PRESENTING ILLNESS: Patient was apparently asymptomatic 5 days back, then he developed h igh grade fever with chills, intermittent in nature, relieved on medication and was associated with  headache. Altered sensorium since 2 to 3 hours (not talking an...