G Rakesh Kumar Roll no 190

  57 yr old male with cervical and lumbar spondylosis and acute ishaemic stroke and with respiratory distress on  June 15, 2023 NOTE: THIS IS AN ONLINE E LOGBOOK 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 A SERIES OF INPUTS FROM THE AVAILABLE GLOBAL ONLINE COMMUNITY OF EXPERTS INTENDING TO SOLVE THOSE CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE-BASED INPUT A 57 yr old male resident of Nalgonda security guard in a bank in Nalgonda came with chief complaints of fever since 1month and altered sensorium 1 month back and shortness of breath since 6days HISTORY OF PRESENT ILLNESS : He is apparently asymptomatic before 5yrs then he developed neck pain and backache which are insidious in onset gradually progressive dragging type associated with muscle spasms and clicking, popping sensation in the neck and shock like pain on the back and not a...

    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.   HISTORY OF PRESENT ILLNESS: He was apparently asymptomatic 12 days back and then he developed fever which is sudden in onset gradually progressive continuous type associated with chills and rigor; no aggravating and relieving factors; not associated with diurnal variation and evening rise of temperature. H/o abdominal pain since 12 days which is sudden in onset gradually progressive non radiating and diffuse type aggravated by taking deep breaths and relieved on taking rest. No h/o of nausea, vomiting, loose stools, loss of appetite, weight loss, burning m...