M.Laxmi Sowmya 71

  Under the guidance of  INTERN PRAKASH SIR This is an online e log book to discuss our patient de-identified health data shared after taking his / her / guardians signed informed consent.  Here we discuss our individual patients problems through series of inputs from available global online community of experts with an aim to solve those patients clinical problem with collective current best evident based input. This E blog also reflects my patient centered online learning portfolio and your valuable inputs on the comment box is welcome. I have been given this case 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 diagnosis and treatment plan. CASE SCENARIO A 60 year old male, daily wage labour  came to casualty with complaints of fever since 3days,nausea and vomiting from yesterday, difficulty in swallowing from

  Question 1 : Testing peer review competency in the active reader of this assignment : Long Case : Bilaterally Symmetric Chronic Progressive Inflammatory Peripheral Polyarthritis This long case is very well presented.Patient past history and present history of illness was clearly taken and each and very particular was asked for diagnosing the patient condition.The differential diagnosis like Rheumatoid arthritis P soriatic Arthritis , Enteropathic Arthritis, Reactive Arthritis,  SLE  was ruled out with out any confusion. Short Case 1 : Idiopathic Parkinson's Disease Stage 1 with denovo HTN. Multiple System Atrophy - Parkinsonian Type (MSA-P). This case seemed to be very interesting to me that the patient is having resting tremors and prosody impaired. Every system examination is done and presented with photographs. The understanding of the case is made easy and their diagnostic approach is highly appreciable. Short Case 2 : IATROGENIC CUSHINGS SYNDROME SECONDARY TO TOPICAL CLOBETA