Swathibogari

  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 is welcome. Here is a case i have seen: 62 yr old male came to the opd with c/o of tingling and numbness of both upper and lower limbs since 15 days . Noticed weakness in both upper and lower limb since 3 to 4 days . Patient was apparently well 15 days back and developed tingling sensation in left index finger which was insidious in onset and gradually progressive to hand 5 days later tingling and numbness started in right hand which was also insidious in onset and gradually prog

  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 is welcome. Here is a case i have seen: A 57 year old male and RMP by occupation with 2 children  Patient is chronic alcoholic since 40years daily 180ml of whisky taken and ocasionally toddy Patient is non smoker,non diabetic and non hypertensive,no history of cad,cva tb, asthma Pt is obese with gross abdominal obesity Patient was apparently asymptomatic 3years ago then he noticed yellowish discoloration of eyes,bilateral pedal edema which is pitting type extending upto knees and