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Showing posts from November, 2020

A 65YEAR OLD MAN WITH SELF TALKING,VISUAL HALLUCINATIONS,IRRELEVANT TALK ,SLEEP DISTURBANCE,INVOLUNTARY MICTURITION AND A NON HEALING ULCER

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November 25,2020   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. Here is a case i have seen: A 65 YEAR OLD MALE PATIENT PRESENTED WITH COMPLAINT OF ALTERED BEHAVIOUR AND AN ULCER OVER ANTERIOR ASPECT OF RIGHT FOOT SINCE 6 MONTHS. PATIENT WAS APPARENTLY ASYMPTOMATIC 6 MONTHS BACK, WHEN HE SUSTAINED AN INJURY-A THORN PRICK TO HIS RIGHT LOWER LIMB, WHICH RESULTED IN CELLULITIS FOR WHICH HE WAS TAKEN TO A RMP, WHERE DEBRIDEMENT FOLLOWED BY DRESSING WAS DONE.HE WAS ON REGULAR DRESSINGS. IT RESULTED IN AN ULCER OVER THE ...