Dushyanth reddy roll no.196

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 A 57-year-old male resident of Nalgonda security guard by occupation came with the chief complaints of fever since 1-month, generalised weakness since 1 month and altered sensorium 1 month back for 3 days. HISTORY OF PRESENT ILLNESS: He is apparently alright before 5 yrs then he developed neck pain which is insidious in onset gradually progressive dragging type associated with muscle spasms and clicking, popping sensation in the neck and backache which was also dull and aching pain with not able get up easily from bed and then after he developed dizziness, weakness, tingling and numbness in both the hands an

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 Welcome, I am Dushyanth Reddy, an aspiring medical student would like to share some experience with Internal medicine and surgery in my career. Its possible with collaboration with department of internal medicine and other departments. My interest in medicine has came since childhood where my grandmother and grandfather has suffered congestive heart failure; and ventricular septal defect in my neighbourhood which is a acyanotic heart disease where in layman terms called as hole in the heart. My other grandfather suffered from emphysema which is a type of chronic obstructive pulmonary disease and died from it

  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-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 55 year old male resident of nakrekal came with the complaints of  *Tingling and burning in his left hand and leg since 17 days *Chest pain since one week  H