76.V.Vasavi

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 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 Chief complaint: A 53 year old male came to OPD with complaint of involuntary shaking of hands since 2 months. History of present illness: Patient was apparently asymptomatic  one year back .Then he gradually developed tremors of left hand . The intensity  of tremors gradually increased  from past 2 months tremors decreased on doing physical activity and increased on rest which is of intermittent type(on and off)he is able to hold objects with right hand but not able to do activity

 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. Chief complaint: 70 year old male patient came to OPD with chief complaint of loss of speech since one day  History of present illness: patient was asymptomatic one month ago then he had fever nd chills not associated with nausea, vomiting,loose stools.Investigations were done diagnosed with pulmonary tuberculosis deranged lft , anti tubercular drugs were prescribed and discharged Patient came to follow up to hospital 2days ago he was prescribed new medication due to deranged lft rft Si