Dr.Lahari Kantoju

 55/M Pyrexia under evaluation with cervical laminectomy 2 months back June 05, 2023 Chief complaints: Patient came with cheif complaints of burning type of sensation of whole body since 1 week. Fever since 1 day HOPI:  Patient was apparently asymptomatic 2 months back after which he had an RTA during which he had cervical cord stenosis and was operated with cervical cord laminectomy i/v/o weakness of both upper and lower limbs. After which patient was on physiotherapy and power improved gradually.Now patient had h/o burning sensation and numbness of whole body( paresthesia). He also have complaints of fever since today afternoon associated with chills , relieved on medication. H/o of  burning micturition since 4-5 days  No H/o decreased sensations No h/o bowel and bladder incontinence. No h/o seizure activity No H/O cold, cough, sore throat No H/o nausea , vomiting, pain abdomen No H/o loose stools PAST HISTORY: Not a k/c/o dmII, htn, thyroid disorders,asthma,epilep...

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 . K.Lahari  Roll no. 61 A 45 yr old male welder by occupation resident of suryapet came to opd with chief complaints of swelling in leg since 2 months and difficulty in breathing since 10 days.  HOPI- Patient was apparently asymptomatic 3yrs ago. Then he developed swelling in both legs till mid thigh and facial puffiness for which he visited our hospital . He stayed here for 6 days and was on medication and his swelling was subsided.  He went back home.  But 10 days later ...

70 yr old male with acute loss of speech and left upper and lower limb weakness 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 CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE BASED INPUT.     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  -->A  70 year old male, resident of Chinakaparthy, Nalgonda district came to OPD with chief complaints of: - Ge...

A 70 yr old female with seizures and slurred speech  26 August 2022  K.Lahari  2019 batch (roll no 61)  Note - This is an a online e log book to discuss our patient de-identified health data shared after taking his / her / guardians signed informed consent. Here we discuss our individual patients problems through series of inputs from available global online community of experts with an aim to solve those patients clinical problem with collective current best evident based input. 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. Case -  A 70 year old female came to the OPD with the chief complaint of sudden inv...