23,B.Divya

Divya.B Roll no:23 This is is an online E log book to discuss our patient's deidentified health data shared after taking his/her/guardian's signed in formed 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 protfolio and your valuable inputs on comment box is welcome A 30 yr old male who is a student resident of suryapet came to general medicine OPD with chief complaints of involuntary stiffening of left upper and lower limbs sence 18 yrs. HISTORY OF PRESENTING ILLNESS:           Patient was apparently asymptomatic 18 yrs back then he started developing involuntary movements and stiffening of left upper and lower limbs associated with up rolling of eyes,froathing, headache,loss of language,fear, anxiety, apnea,stertoreu

Divya.B Roll no:23 This is is an online E log book to discuss our patient's deidentified health data shared after taking his/her/guardian's signed in formed 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 protfolio and your valuable inputs on comment box is welcome A   58  year old male resident of suryapet came to the OPD with cheif complaints of pain in the right lower limb since 3 months and tingling sensation in the hands since 3 months.   History of present illnesses:     He was apparently asymptomatic 3 months back and then he developed pain in the lower limbs which was insidious in onset gradually progressive non radiating type. Pain aggravated on walking and relieved by rest   Pain is not associated with fever