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A 60 year old male with fever and vomitings

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 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 . Chief complaints A 60 year old male patient teacher by occupation came to OPD in drowsy state 2days ago fever since 3 days and vomiting since 2 days. History of presenting illness Patient was apparently asymptomatic 30 years back,then he had fever following which he went to local hospital where he was given an injection and since then he was feeling that something is happening to him for which one of his relatives took him to a psychiatrist and got treated and was given tablet- fluv...

A 21 year old pregnant women with 4days of fever chills and rigor

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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 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 plan. A 21 year old pregnant patient came to OPD with a cheif complaints of fever since 4 days Associated with chills and rigor HISTORY OF PRESENTING ILLNESS- Patient was apparently asymptomatic 4 days back and then she devel...