N VAMSHI KRISHNA ROLL NO 107

 Hello,  This is N Vamshi krishna, a medical student from india.  I’ll be sharing few of my experiences in General medicine department. Before that I would like to thank my HOD sir and mentors who will be always available to clarify our doubts and help us to approach the patient in the most practical way. They taught us how to apply the theory knowledge in the clinical postings. They always gave us inspiration to learn the subject in more practical way. Also we had an open platform where we can discuss things with our HoD sir and our professors about patient and also we approach our HOD sir directly during our rounds, he will enlighten us without any judgement.  Medicine is a beautiful way of diagnosing and healing patient. I have always seen a patient as a mystery box yet to be solved and there clinical signs are like key to the diagnosis. I have learned to notice and observe the patient very keenly and it’s importance in diagnosis and exposure with patient has opened a new dimension

  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 a 35 year old male with chief complaints of loss of sensation in both limbs below knee and upper limbs below elbows since 6 months. Daily routine- patient is a labourer by occupation. He wakes up in the morning at 6 am Has his breakfast (rice)by 8am  Goes to work at 9am Has his lunch at 1pm He goes back home by 8pm Patient has been drinking alcohol since he was 15 years old.He has a habit of drinking throughout the day. He also chews tobacco. Hi

  This is an online e log book to discuss our patient de-identified health data shared after taking his / her / guardians signed informed consent. Here we discuss our individual patients problems through series of inputs from available global online community of experts with an aim to solve those patients clinical problem with collective current best evident based input . This E blog also reflects my patient centered online learning portfolio and your valuable inputs on the comment box is welcome. I have been given this case to solve in an attempt to understand the topic of " patient clinical data analysis" to develop my competency in reading and comprehending clinical data including history, clinical findings, investigations and come up with diagnosis and treatment 55 year old male resident of nalgonda mechanic by occupation came to the opd with chief complaints of weakness of left upper limb and lower limb since 3 days .      C/o deviation of mouth to right side since 3 day