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This online E-log Entry Blog is an objectively structured clinical examination method to assess the clinical competence during the course of my General Medicine Internship rotation (June'2023-August'2023) by reviewing the case reports shared below and to discuss, understand and review the clinical scenarios and data analysis of patients so as to develop my clinical competency in comprehending clinical cases, and providing evidence-based inputs for questions surrounding the clinical vignettes borrowed from the E Log Book.Note: The cases have been shared after taking consent from the patient/guardian. All names and other identifiers have been removed to secure and respect the privacy of the patient and the family.

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35 year old male patient resident of katamgur,toddy worker by occupation came with C/o distension of abdomen since 3 months, shortness of breath since 3 months.c/o pedal edema since 20 days. Case blog: http://129sowjanyaboyapati.blogspot.com/2023/07/35-year-old-male-patient-resident-of.html Questions: 1.What is the cause of cirrhosis of liver? Due to daily consumption of 50ml of alcohol since 20 years. 2.What is the cause of ascites in the patient: Ascites is the build-up of fluid in the abdomen. This occurs when the liver gets irreversibly scarred, a condition known as cirrhosis. Ascites is the most common complication of cirrhosis.  3.What is the cause pleural effusion in the patient? In cirrhosis, pleural effusion is cause by high pressure in the portal vein (called portal hypertension). In many cases, the fluid build up starts in the abdomen (ascites) but eventually passes through holes in the diaphragm, into the chest (pleural effusion). 4.what is the cause of pedal ed
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36Y OLD FEMALE PATIENT CAME WITH C/O INVOLUNTARY MOVEMENTS OF RIGHT UPPER LIMB SINCE 1HRPATIENT WAS APPARENTLY ASYMPTOMATIC 1 HR AGO,THEN SHE DEVELOPED INVOLUNTARY MOVEMENTS OF RIGHT UPPER LIMB,NOT ASSOCIATED WITH LOC, INCONTINENCE( fecal/urinary), VOMITING,PAIN ABDOMEN, FEVER,COUGH, COLD, DROOLING OF SALIVA,UPROLLING OF EYES,TONGUE BITE,POST ICTAL CONFUSION . PATIENT WAS C/C/C DURING SEIZURES.H/O SIMILAR COMPLAINTS YESTERDAY NIGHT WHICH WAS ASSOCIATED WITH ONE EPISODE OF VOMITING,LOC WHICH SUBSIDED AFTER INJ.LORAZEPAM 2 CC IV/STAT AND SENSORIUM IMPROVED AFTER SEIZURE ATTACK WITH NO POST ICTAL CONFUSION.FIRST SEIZURE ATTACK WAS 18 YEARS AGO WHICH WERE INVOLUNTARY MOVEMENTS OF RIGHT UPPER LIMB AND LEFT LOWER LIMB WHILE SHE WAS PREGNANT .THERE WERE EPISODES OF SIMILAR COMPLAINTS (6-8 TIMES - OUT OF WHICH 3-4 TIMES SHE HAD INVOLUNTARY MOVEMENTS OF RIGHT UL AND LL WHILE REMAINING TIMES SHE HAD ONLY RIGHT UL MOVEMENTS AND EVERYTIME SHE HAD H/O LOC AND IN 8 MONTHS AGO EPISODE SHE WAS C/C/C DURING SEIZURE EPISODE) .

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36Y OLD FEMALE PATIENT CAME WITH C/O INVOLUNTARY MOVEMENTS OF  RIGHT UPPER LIMB SINCE 1HR PATIENT WAS APPARENTLY ASYMPTOMATIC 1 HR AGO,THEN SHE DEVELOPED INVOLUNTARY MOVEMENTS OF RIGHT UPPER LIMB,NOT ASSOCIATED WITH LOC, INCONTINENCE( fecal/urinary), VOMITING,PAIN ABDOMEN, FEVER,COUGH, COLD, DROOLING OF SALIVA,UPROLLING OF EYES,TONGUE BITE,POST ICTAL CONFUSION . PATIENT WAS C/C/C DURING SEIZURES. H/O SIMILAR COMPLAINTS YESTERDAY NIGHT WHICH WAS ASSOCIATED WITH ONE EPISODE OF VOMITING,LOC WHICH SUBSIDED AFTER INJ.LORAZEPAM 2 CC IV/STAT AND SENSORIUM IMPROVED AFTER SEIZURE ATTACK WITH NO POST ICTAL CONFUSION. FIRST SEIZURE ATTACK WAS 18 YEARS AGO WHICH WERE INVOLUNTARY MOVEMENTS OF RIGHT UPPER LIMB AND LEFT LOWER LIMB WHILE SHE WAS PREGNANT . THERE WERE EPISODES OF SIMILAR COMPLAINTS (6-8 TIMES - OUT OF WHICH 3-4 TIMES SHE HAD INVOLUNTARY MOVEMENTS OF RIGHT UL AND LL WHILE REMAINING TIMES SHE HAD ONLY RIGHT UL MOVEMENTS AND  EVERYTIME  SHE HAD H/O LOC AND IN 8 MONTHS AGO  EPISODE SHE WAS
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35 year old male patient resident of katamgur,toddy worker by occupation came with C/o distension of abdomen since 3 months, shortness of breath since 3 months.c/o pedal edema since 20 days.

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This is 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 patients 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 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 diagnosis and treatment plan. 35 year old male Patient  resident of katamgur, toddy worker by occupation came with C/o distension of abdomen since 3 months C/o shortness of breath since 3 months  C/o pedal edema since 20 days HOPI : Patient was a
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Final practical medicine short case

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This is 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 patients 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 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 diagnosis and treatment plan. Registration number:1701006174 Case: A 52year old male patient came to the opd with Cheif complaints : Fever since 4days Abdominal distension since 3days AbdominalPain since 3days History of present illness: Patient
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Final practical medicine long case

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This is 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 patients 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 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 diagnosis and treatment plan. Registration no.1701006174 Case:   A 65 year old male patient came to the opd with chief complaints of right sided weakness, deviation of mouth and drooling of saliva History of present illness: Patient was apparentl
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80year old female house wife by occupation resident of vallala came to opd with chief complaints of difficulty in breathing since 8 days and swelling in legs since 8days

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  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 comment box. 80 year old female patient house wife by occupation resident of vallala presented with chief complaints of :          1. Difficulty in breathing since 8 days                      2.swelling in both legs since 8 days HISTORY OF PRESENT ILLNESS : Patient was apparently asymptomatic 25 days back then she suffered trauma due to slipping in the bathroom, she fell in sitting position and complained of left hip pain.  She could walk normally for 4 days but later complained of too much pa
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