B.RISHIKA SRI ROLL NO:20

  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 is welcome. CASE: A 49 year old female came with chief complaints of pain in the joints since 10 years. HISTORY OF PRESENTING ILLNESS: Patient was apparently asymptomatic 10 years back.She then developed fever (on and off type) for which she takes paracetamol (2-3 everyday).She had 2-3 episodes of vomiting,headache and increased frequency of micturation(15-20 times a day). She then developed pain and swelling in her wrist,ankle,shoulder,elbow,hip,metacarpal phalanges,metatarsal joi

  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 solveb 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: This is a case of 55 year old male with chief complaints of - deviation of mouth to left side since 2 days (11/03/2023) - slurring of speech since 2 days History of presenting illness: Patient was apparently asymptomatic 2 days ago. He then developed slurring of speech which was sudden in onset.He also developed bilateral blurring of vision which was sudden in onset and which lasted for an hour.On the same day his wife noticed deviation of mouth to left side and