GENERAL MEDICINE ELOG BY AMISHA JAISWAL 03

  17 YR FEMALE WITH RAT POISON INTAKE  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 17 year female came to casualty with active seizures and history of intake of rat poison 11 days ago.  HISTORY OF PRESENTING ILLNESS History of intake of rat poison powder followed by two episodes of vomitings with food as contents and yellowish discoloration of eyes. History of generalized seizures with the 2-5 episodes for past since 11 days PAST HISTORY -  NOT A KNOWN CASE OF  HTN, DM , EPILEPSY , ASTHMA , TB PERSONAL HISTORY : DIET - MIX

    65Y OLD MALE WITH ALTERED SENSORIUM THIS IS AN ONLINE E LOG BOOK TO DISCUSS OUR PATIENT'S DE - IDENTIFIED HEALTH DATA SHARED AFTER TAKING HIS 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 CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE BASED INPUT  PATIENT CAME WITH  CHEIF COMPLANT  OF ALTERED SENSORIUM SINCE 5AM (2/2/22), SOB(shortness of breath) GRADE IV SINCE TODAY MORNING.  HISTORY  OF PRESENTING ILLNESS: PATIENT WAS APPARENTLY ASYMPTOMATIC 20Y BACK, PATIENT WENTTO REGULAR CHECKUP AND CAME TO DIAGNOSE WITH DM-II. 18 YRS BACK HE HAD H/O TRAUMA ON LEFT LITTLE TOE AND DUE TO  CELLULITIS ,LEFT LITTLE TOE HAS BEEN AMPUTATED. SIX YRS BACK PATIENT AGAIN DEVELOPED LEFT LOWER LIMB CELLULITIS FOR WHICH FASCIOTOMY HAS BEEN DONE, SINCE THEN INSULIN HAS BEEN STARTED -MIXED INSULIN (30/70)35U -x-30U LINAGLIPTIN 2.5MG/MF- 500MG AS DOCTORS MENTIONED