
General Medicine Final practical short case 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 50 year old male brought to casuality with the chief complaints of altered sensorium since yesterday evening (since 15 hours). Patient was apparently asymptomatic 10 years back and then he developed giddiness and weakness on routine checkup, he was diagnosed with diabetes. 4 months back, patient had an injury to left foot with small ulcer initially and then it progressed leading to amputation of three toes of left foot. Now, yesterday pa...