Internship medical postings

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.  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.  This E log book also reflects my patient-centered online learning portfolio and your valuable inputs on the comment box is welcome. Here is a case I have seen:            A 45 year old male,labourer by occupation and resident of  nalgonda came with chief complaints of  Abdominal pain and vomitings since 1day.   HOPI:      Patient was apparently asymptomatic 1day back then developed abdominal pain since morning,which was sudden in onset,gradually progressive,radiating to epigastrium (diffuse),not relieved on medication. He has vomitings since 1day,which is bilious in content.    NEGATIVE HISTORY:  There is no history of...

 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 is welcome. CASE DISCUSSION:  A 63 yr old male from Narketpally was brought by his attender (wife) to the hospital with chief complaints of increased frequency of urination since 10days and easy fatiguability since 1week and increased sugar levels since 4days   HISTORY OF PRESENTING ILLNESS:            Patient was apparently asymptomatic 10 days back,then developed increased frequency of micturition It was not associated with burning micturition,ur...