P Tejaswini

A 60 yr old male came to the OPD with chief complaints of  .Fever since 10days .pain in multiple joints of hand from past 2 yrs .pedal edema since 15 days HOPI:patient was apparently asymptomatic 2 yrs back then he had multiple joint pains( both hands metacarpophalangeal joints and both knee joints.joint restriction present . morning stiffness present c/o lower limb swelling since 1 yr pitting type till ankle H/o trauma to left leg middle toe 1 month back No c/o cough No c/o decreased urine output  H/o chronic NASID abuse since 1 yr for joint pain Past history:N/k/c/o HTN DM TB CVA CAD Asthma epilepsy  Family history:Not significant  Personal History   Diet:mixed   Appetite:decreased   Sleep:aquate   Bowel irregular and bladder: normal   No addictions     General Physical Examination   Patient is conscious coherent and cooperative     Moderately built and moderately nourished              No pallor,Icterus,cyanosis, clubbing,lymphadenopathy    Vitals          Temperature:100 F        

MED CASE :-  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 patients' problems through a series of inputs from the available global online community of experts with an aim to solve those patients' clinical problems with collective current best evidence-based information. This E blog also reflects my patient-centered online learning portfolio and your valuable input in 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 coming up with diagnosis and treatment plans. is an online e-log book to discuss our patient's de-identified health data shared after taking his / her / guardians' signed informed consent. Here we