Dr. Sarbesh Mishra

 This is 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. Dr. Sarbesh Mishra Roll no.: 142 A 38 year old male, resident of Yelareddygudem has come with c/o : Slurring of speech since 2hrs Difficulty in swallowing since 2hrs HOPI: Patient was apparently asymptomatic 2hrs ago then while drinking tea,Patient observed sudden inability to swallow tea,and difficulty in speech(slurring) and deviation of angle of mouth.Episode lasted for 5min and subsided.After 30min Patient experienced another similar episode which lasted for 2-3mins. N/h/o loss

 This is online E log book to discuss out patients de-identified health data shared after taking his / her guardian`s 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 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 comments box is welcome . Note: The cases have been shared after taking consent from the patient/guardian. All names and other identifiers have been removed to secure and respect the privacy of the patient and the family. Consent: An informed consent has been taken from the patient in the presence of the family attenders and other witnesses as well and the document has been conserved securely for future references 41 year old female housewife hailing from Miriyalguda came to casualty with C/O: 1) Nausea and vomiting since 1

A Case of 27 year old female patient came to casualty with complaints of pain in epigastric region. This is an online Elog book to discuss our patient deidentified health data shared after taking his/ her guardians signed informed consent. Here we discuss our individual patient problems through series of inputs from available Global online community of experts with an aim to solve the patients  clinical problem with current best evidence based input. This Elog also reflects my patient centered online learning portfolio. 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 a diagnosis and treatment plan. Dr. Sarbesh Mishra, Internee A 27 year old female homemaker resident of Chouttupal came with  chief complaints of  pain in abdomen, nausea and vomiting History of  present illness:  Patient wa