Clinical Logs

  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. The patient presented with chief complaints of  uncontrolled movements in fingers and toes since 3-4 years.  Inability to talk properly since 3 years Difficulty in swallowing since 2 years Urinary incontinence HISTORY OF PRESENTING ILLNESS: These movements used to occur 1-2 times a day in the beginning, now increased to 5-6 times a day. The severity and frequency seem to be increasing day by day. Movements were also present in his sleep. There is no weakness or loss of grip when these movements occur. No triggers, no relieving factors.  The movements in his fingers were clearly seen when he was wal...

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 51M, a farmer by occupation, complains of:  Loss of pain sensation and swelling in his left foot since 3 years,  Ulcer on dorsum of little finger of left foot since 11 months. Tingling sensation in his sole of left foot HISTORY OF PRESENTING ILLNESS: The patient was apparently asymptomatic 21 years back In 2019, the patient sprained his little toe (left foot) on a morning walk and noticed swelling. An x-ray showed joint displacement and he was recommended surgery. Since he couldn't afford surgery, he was given medications to decrease the pain. He went to a different doctor who prescribed different med...

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 53F woman, who works as a teacher complains of uncontrolled movements in fingers and toes since 7 years.  HISTORY OF PRESENT ILLNESS: Patient was apparently asymptomatic 7 years back. She then developed slight movements in her fingers and toes that were not under her control. These movements lasted for 10-15 minutes and occurred 2-3 times in an hour. The frequency has now increased. There is no associated weakness. These tremors are of low amplitude and high frequency. They are also present during sleep. Episodic in nature. Occur and resolve spontaneously. No triggers. Aggravated on stretching arms. No re...

  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 14 yr old female student from Ramanapet has complaints of pulling pain in both legs in the calves and shortness of breath. HISTORY OF PRESENTING ILLNESS: The patient was apparently asymptomatic 5 months back.  5 months back, she was given the first dose of CORBEVAX vaccine that was freely distributed in her school (Apr. 9th). She had no fever, or muscle pain post vaccination. Approximately 5-7 days, later, she developed SOB after walking and climbing stairs (Grade 2).   [Advocate mentioned that patient used to walk to school everyday. However, 5-7 days after vaccination, she used to stop in the mi...