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My experiences with general cellular and neural cellular pathology in a case based blended learning ecosystem's CBBLE "

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  As keen learner, i want to share some insights of me and my medicine journey, theres a patient , who came to medicine department with a bruise that doesn't heal , her bt ct was prolonged and her platelet count is 6000,  i was  stunned by seeing her counts, and she was admitted,immediate platelet transfusion was planned, and she had idiopathic thrombocytopenic purpura, tried steroids got pedal edema and many more side effects, she used to do weekly hemogram counts are maintained at 60,000, one fine day , she started have nleeding,menorrhagia,melena,her platelet counts fallen rapidly,SHE is on azathioprine,eletrombopag, iv ig  and high dose steroid injections to get the platelet count higher, no use ,she suffered from side effects, there comess the RITUXIMAB, the wonder drug, after she tried it, her platelet count, drastically improved without any relapse. I observed a complete medical case and monitored the entire treatment process until the patient was cured. I learned a lot in h
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68F WITH FEVER AND ABDOMINAL PAIN

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 A 68 YEAR OLD FEMALE CAME TO OPD WITH COMPLAINTS OF PAIN ABDOMEN SINCE 4 DAYS  FEVER WITH CHILLS SINCE 4 DAYS VOMITINGS AND ABDOMINAL DISTENSION SINCE 3 DAYS CONSTIPATION SINCE 2 DAYS PATIENT WAS APARANTLY ASYMPTIMATIC 1 WEEK BACK THEN SHE HAD COMPLAINTS OF LOOSE STOOLS 3-4 EPISODES WATERY,NOT ASSOCIATED WITH BLOOD AND MUCOUS, LARGE VOLUME,BLACK COLOURED LASTED FOR 2 DAYS,THEN SHE HAD COMPLAINTS OF PAIN ABDOMEN,DIFFUSE,SQUEEZING TYPE ASSOCIATED WITH  COMPLAINTS OF FEVER  WITH CHILLS,INTERMITTENT,NO EVENING RAISE OF TEMPERATURE ,WITH VOMITINGS,BILIOUS,NONPROJECTILE FOR 4 DAYS AND ALSO COMPLAINTS OF  OBSTIPATION SINCE 2 DAYS CLINICAL CASE OF DIABETES MELLITUS SINCE 10 NYEARS ON MEDICATION. NOT A CLINICAL CASE OF  HYPERTENSION,TB,ASTHMA,CAD,EPILEPSY,CVA   PERSONSAL HISTORY MIXED DIET APPETITE:LOST SINCE 1 WEEK SLEEP: ADEQUATE CONSTIPATION SINCE 2 DAYS BURNING MICTURITION SINCE 10 DAYS ADDICTIONS NONE   GENERAL EXAMINATION PATIENT IS CONSCIOUS ,COHERENT,COOPERATIVE  NO PALLOR,ICTER
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A 60 year old male with fever and pedal edema

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  This is 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 comments on comment box is welcome. A 60 year old male patient came to medicine opd with chief complaints of fever, pedal edema , since 5days Patient was apparently asymptomatic 5 days ago then he developed fever in the morning at 4 O clock which is sudden in onset ,continuous in nature not associated with chills and rigors.H/o vomiting one episode ,watery in consistency bilious with food particles , associated with nausea and watery diarrhea large volume ,5-6 times a day for 2 days.h/o shortness of breath s
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