E-log book for general medicine

  This is an online E logbook to discuss our patient's  de-identified health data shared after taking her guardian's signed informed consent.  Here we discuss our individual patient's problems through series of inputs from an 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 logbook also reflects my patient-centered online learning portfolio and your valuable inputs on the comment box are welcome. MAY 15,2021 A 65-year-old female, who is a homemaker presented to the hospital with the chief complaint of a non-healing ulcer HISTORY OF PRESENTING ILLNESS In December 2020 , the patient first complained of a small itchy papular lesion that appeared on the anterior aspect of her right lower limb which, on scratching bled easily. Soon a similar lesion appeared a few cms lateral to the original lesion and they ulcerated. The ulcers were apparently itchier than they ...

I have been given the following cases to solve in an attempt to understand Patient clinical data analysis, and to develop my competency in reading and comprehending clinical data including history, clinical findings, investigations, and diagnosis- in order to formulate a strong treatment plan. This is the link to the questions asked: http://medicinedepartment.blogspot.com/2020/09/medicine-paper-for-october-2020-first.html?m=1 Below are the answers based on my comprehension of the cases:  PULMONOLOGY https://soumyanadella128eloggm.blogspot.com/2021/05/a-55-year-old-female-with-shortness-of.html QUESTIONS : 1) What is the evolution of the symptomatology in this patient in terms of an event timeline and where is the anatomical localization for the problem and what is the primary etiology of the patient's problem? Symptomatology : 20 years ago : she had an episode of SOB (grade II) during the month of January while working on the paddy fields. Decreased on taking inhalers. Repeated e...