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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

General Medicine Final Practical

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General Medicine Final Practical Long 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  18year old girl came with chief complaints of fever since 2months back  *joints pain since 2months back *vomitings since 2months back  *headache along with fever episodes since 2months  * pain in abdomen (diffuse)since 5days back History of present Illness  Patient was apparently asymptomatic 2months back then she developed fever following after fever subsided patient started having pain in the small joints PIP,DIP,MCP which subsided with