GM

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.  CASE PRESENTATION: A 23y old female patient presented to casualty with c/o loss of consciousness  Pt was apparently asymptomatic 15 days back then she had headache and fever which was insidious in onset,high grade,intermittent type,not a/w chills and rigors ,no diurnal variation,releievd on medication. Fever was a/w neck stiffness  H/o vomiting since 10 days .it was a/w food intake.(with food particles as contents ,non bilious,non projectile,non foul smelling)  H/o bod

  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.  CASE PRESENTATION: A 60y old female patient came to opd with c/o  1.fever since 4 days  2.C/o headache since 4 days 3.vomitings since 4 days Patient was apparently asyptomatic 4 days back ,  later she had fever which was insidious in onset,progressive,low grade and  not a/w chills,intermittent type with no diurnal variations,no aggregating or relieving factors C/o headache since 4 days ,diffuse type not a/w diplopia,blurring of vision.No h/o any head trauma C/o body

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.  CASE PRESENTATION: A 45y old female patient who is homemaker by occupation came to casualty with c/o  1.seizures since 2am(5-6 episodes) Patient was apparently asyptomatic till 2am, then developed a seizure episode at 2am involving all the four limbs associated with frothing,uprolling of eyeballs,loss of speech,loss of consciousness.the episode lasted for less than a min .This episode was evidenced by her daughter who was sleeping beside her and they went to a local ho