General Medicine E log book

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 comments" HTNo.1601006195 GENERAL MEDICINE LONG CASE A 45 year old male resident of Nalgonda labourer by occupation presented  with chief complaint of :  1.Shortness of breath since 10 days   2.Cough since 10 days  3.Swelling of both legs  since 10 days   History of presenting illness  Patient was apparently asymptomatic 10 days ago,then he developed  1.Grade III  shortness of breath which was insidious in onset , nonprogressive,aggravated by walking, strenous work ...

The present complains of this patient are as follows She gives a history of frequent falls on her left side with giving away of foot and hand. There is also history of left sided jaw pain radiating all over the face. History of intensified aura and increased headache 1 month after the incident of left sided spinning event which increased to such an extent that it caused her to vision loss for 2hours or so and also gives complains of on and off stuttering and inability to walk and memory loss. Her weight fluctuates because of swelling which occurs when she is in stress , exercise or eats something wrong. The priority of her complains according to my analysis should be 1. Her cognitive functions(since its patient's own request) 2. To focus on why she has somemuch of salt cravings just to make her feel better(because increase intake of salt can lead to further complications) 3. Her left sided symptoms and her headaches which are present since the age of 2 The 1st question that arises ...