e log book by swathi

  SHORT CASE This is an online e log book to discuss about patients de identified data shared after taking his /her /guardians signed informed consent  35 year old male patient, Resident of Ramchandrapuram, Hyderabad works as daily wage labourer . CHIEF COMPLAINTS High fever and Painless red, scaly lesions all over the skin HOPI 3 months history of painless lesions - papules with erythema  that started initially over face then extended to upper limb and lower limb ,trunk . No hypodense lesions ,no fever ,no pus discharge ,no loss of sensation ,no genital lesions . Patient got topical cream ,soap and some oral drugs from medical shop - OTC  He used for 2 months ,few lesions regressed ,but few persisted on nose ,earlobe and on trunk ,hands ,legs . 14 days back patient developed blackish  skin discoloration over hands and feet with skin peeling ,cracking ,ulcer formation - associated with burning sensation and  erythema all over the body. No new lesions were noted . Since 4 days patient d

 GENERAL MEDICINE E LOG BOOK1 "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   LONG  CASE A 62 year old Gentleman, came to the OPD with chief complaints of severe burning micturition since 1 month. History of presenting illness He was apparently asymptomatic 1 month back, developed burning micturition suddenly , insidious in onset for which he went to a local doctor who prescribed paracetamol which did not relieve his symptoms following which he came to the OPD. Pt experienced sudden loss of appetite followed by disturbed sle