R. pradeep Roll. no. 177

March 28, 2022 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 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-centred online learning portfolio and your valuable inputs on the comment box is welcome."I've 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. CHEIF COMPLAINTS:- ​A 50 yr old male came to casuality with complaints of fever since 3days and vomitings since 3 days .                     TIME LINE OF EVNETS...

36YEAR OLD FEMALE WITH JOINT PAINS, MALAR RASH, ORAL ULCERS A 36 years old female patient came with chief complaints  of Multi joint pain since 2 months ,morning stifness of joints since 1 month ,Menorrhagia since 1 month  HOPI Patient was apparently asymptomatic 2 months back, then she had rapid weight gain, menorrhagia, multiple joint pains, she visited a hospital and was found that her TSH was >100 mlU/L and was started on THYRONOME 100 micrograms. Her menorrhagia subsided, but she continues to have multiple joint pain (all small joints and large joints) associated with swelling of joints, morning stiffness for 30mins, on evaluation she was found to have CRP (+), Hb-10.8gm/dl, Uric acid-7.8 and was started on T. ALLOPURINOL100mg BD. Her joint pains are associated with on and off low grade fever since 2months, using T.PCM 650mg BD since 2months.  On Dec 29th:  ANA- 3.18(if >1.2 strongly positive) Anti CCP -1.4 UI/ml (Negative) Rh factor- Negative  TSH -1...