112 Souraja Acahrya

Hello everyone.  This is Souraja Acharya, a medical student from kamineni Institute of medical sciences.  Medicine is vast. So vast of an ocean it is that sometimes we lose track of how we are progressing.  Hence, this is my attempt to bring to you all of my learnings of General medicine. All in one place.  I hope I can bring to you this and share with you my learnings while I am on my journey of Medicine.  So let's start..  Welcome to my journey people.  CBBLE stands for case-based blended learning ecosystem- which aims in practicing precision medicine ,that focuses on meeting patient requirements accurately, optimizing patient outcomes, and reducing under-/overdiagnosis and therapy. PaJR- Patient journey records -"The Patient Journey Record system (PaJR) is an application of a complex adaptive chronic care model in which early detection of adverse changes in patient biopsychosocial trajectories prompts tailored care, constitutes the cornerstone of the model". While you

Hello everyone. I am Souraja Acharya, a third proffesional MBBS students at kamineni.  This is an online E logbook 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 a series of inputs from the available global online community of experts intending to solve those patients' clinical problems with collective current best evidence-based inputs CHIEF COMPLAINTS A 75 year old man who is a farmer by occupation from Villamla presented to the OPD with complaints of pain and edema in the right ankle and foot which gradually progresses upward towards the groin. He also complaints of immobility in the foot.  HISTORY OF PRESENTING illness The patient developed the same situation 2 years back when a thorn pricked him on the medial side of his left leg and led to an infection.on visiting a local RMP, he was put on medication and the site was properly cleaned with warm water.

This is an online E logbook 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 a series of inputs from the available global online community of experts intending to solve those patients' clinical problems with collective current best evidence-based inputs PRESENTING COMPLAINT -A 45 year old woman presented to casualty with complaints of excessive weakness and fatigue in both her legs and also her upper limbs. Due to this weakness, she fell down when attempted to walk and hence brought to the hospital.  ASSOCIATED COMPLAINT She also complains of loss of appetite and feeling of nausea when she tried eating.  She also complains of moderate weakness in her entire body.  HISTORY OF PRESENTING ILLNESS Patient was apparently asymptomatic 5 days back.4 days back, on Monday (29/05/23)  She had weakness in her legs which started in the morning and gradually increased thr

Hi, I am Souraja Acharya, 3rd Sem Medical Student. This is an online e-log book to discuss our patient's health data shared after taking his/her/guardian's consent . This also reflects patient centered care and online learning portfolio. Chief complaints A 22 year old man who just finished his Btech and is a resident of Miriyalguda presented to the OPD with stomach pain from front to back, vomiting since 6 days and loose motions since 4 days.  History of present illness Patient was asymptomatic a week back TUESDAY- continuous vomitings and motions WEDNESDAY-6 times motions, 4 times vomiting THURSDAY- 3 times motions, 3 times vomiting The stool was watery in consistency, not foul smelling and there was no blood. FRIDAY- went to a local hospital in Miriyalguda where the doctor asked him to get a RFT done and a USG.  Report-- Creatinine-6. 4 Blood urea-68 USG- mild mild raise echogenicity of both kidneys, renal parenchyma changeswith RFT correlation.  Then, he got admitted in our