Rheumatoid arthritis

NOTE: THIS IS AN ONLINE E LOGBOOK 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 A SERIES OF INPUTS FROM THE AVAILABLE GLOBAL ONLINE COMMUNITY OF EXPERTS INTENDING TO SOLVE THOSE CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE-BASED INPUT. Case: A 46YEARS OLD  MALE CAME WITH THE CHIEF COMPLAINTS OF Bilateral numbness and tingling sensation on lower limb, giddiness ,back pain and hypo pigment patches over hands CHIEF COMPLAINTS: A 46year old male patient came with the chief complaints of:Bilateral numbness and tingling sensation on lower limb, giddiness ,back pain and hypo pigment patches over hands HOPI:- The patient was apparently asymptomatic 1month back then complained of  of:Bilateral numbness and tingling sensation on lower limb after a trauma in onset, insidious in onset he had lower Bach pain since 1year and hypo pigment patches over

This is an online E log book by Faizal.m  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-centred online learning portfolio and your valuable comments on comment box is welcome. I've 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 treatment plan.  CHIEF COMPLAINTS: A 65 year old female patient came with the chief complaints of: - fever, cough since 12days -lower back pain since 35year HOPI:- The patient was appa

Hi,This is faizal. M 5th semester students.This is an online elog book to discuss our patient health data after taking his consent.this also reflect my patient centered online learning portfolio. A 35year old male patient came to OPD with Chief complaint of: Fever since 1week Dysphagia since 1week History of present illness:   Patient was apparently asymptomatic since 6years back then he met with an accident (RTA) Femur fracture and surgery was done. Since then, patient complained of discharge from the femur site.Treatment of i.v amakacin and interossecus gentamycin for 20days. Since 1year he is unable to walk and he was in complete bed rest ,after he walked with support of a stick. 1week back he complained of high grade fever with dysphagia both solid and liquid and feel burning sensation on throat. No history of vomiting and diarrhoea Past history :- Not a k/c/o hypertension, epilepsy,asthma  K/c/o type 2 DM since 6month Personal history:- Married Appetite:-normal Diet :-mixed Bowels

Hi,This is faizal. M 3rd Semester student. This is an online elog book to discuss our patient health data after taking his consent. this also reflect my patient Centered online learning portfolio Chief complaint : A 50 years old male patient labourer by occupation came to OPD with chief complaint of weakness ,Dizziness History of present illness: patient  was apparently asymptomatic since 1year then started  complaint  for weakness, dizziness  and high sugar level.He was kept on OHA's used for  2month and he stopped medication  for 2 months and he developed  complaint  of severe  weakness, polydypsia,polyuria so he visited  a private hospital  at nalgonda found to having high sugar(uncontrolled diabeties).he was started with Insulin since then but patient is taking  Irregularly Past history: history of diabetes since 1year Drug history:t.THIAMINE                          t. GLIMI-M1 Family history: no family history of present illness Personal history : patient is taking mixed type

Hi,This is faizal. M 3 rd semester students.This is an online elog book to discuss our patient health data after taking his consent.this also reflect my patient centered online learning portfolio Chief complaint  : A 49 years old female patient who is agriculture labour in occupation came to opd with chief complaint of multiple joint pain since 10years with stiffness in morning.  History of present illness: Patient was apparently asymptomatic 10 years ago then she started having joint pains. she is anemic.The patient had complained of swellings in the leg associated with the joint pain. The patient had also complained of Headache associated with the joint pain and fever which seemed to be on and off . The patient complained of vomiting. The patient said that joint pains,fever and Headache reduced after vomiting . The patient also complained of morning stiffness.  Past history: No history of diabetes,hypertension, epilepsy ,CAD , tuberculosis and asthma Drug history: Family history: No