Medicine case discussion

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.  A 57year old male came to the opd with complains of stiffness of  bilateral upper and lower limbs for 15minutes since 1day HOPI: Patient was apparently normal  until yesterday morning then he developed stiffness of all four limbs for 15minutes associated with of up rolling of eyes frothing from mouth and involuntary micturition, tongue bite+ No involuntary defication present,  Post ictal confusion is present for 5-10mins, no history of similar complains in the past.  No history o

  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 box A 60 year old male,farmer by occupation from Nalgonda came to casualty with complaints of SOB(grade3) on exertion since 6 months  Indigestion since 4 months Chest pain since 3 months. Patient was apparently asymptomatic 6 months back when he developed shortness of breath on exertion(walking for >200mts) No H/O of orthopnea,PND ,no seasonal and diurnal variations. Patient complains of chestpain(Right and left sided) non radiating,burning and spasmodic type of pain. No H/O excessi