Kasu ajay reddy

Short case final exam   This is an online e log book to discuss about patients de identified data shared after taking his /her /guardians signed informed consent  35 year old male patient, Resident oframchandrapuram ,HYD,works as daily wage labourer . Who is a chronic smoker(1 pack of beedi every 2 days )  and taking alcoholic (90 ml daily ) since 20 years  Presented with 3 months history of painless lesions - papules with erythema  that started initially over face then extended to upper limb and lower limb ,trunk . No hypodense lesions ,no fever ,no pus discharge ,no loss of sensation ,no genital lesions . Patient got topical cream ,soap and some oral drugs from medical shop - OTC  He used for 2 months ,few lesions regressed ,but few persisted on nose ,earlobe and on trunk ,hands ,legs . 14 days back patient developed blackish  skin discoloration over hands and feet with skin peeling ,cracking ,ulcer formation - associated with burning sensation and...

E log medicine  “ This is an online e log book to discuss our patients deidentified data shared after taking his /  her /guardians consent ”  A 50 year old female with joint pains  A 50 year old female came to the OPD with chief complaints of pain and stiffness in several joints since 1 year. History of present illness : She was apparently asymptomatic 10 years ago, then she developed a dulling aching type of pain and stiffness in her finger joints(MCP joints) of right hand with limitations of movements at the joints.  Then within 6 months of onset the disease progressed to involve other joints of the right hand and left hand as well( wrist joint and elbow joint)  Within 4 years of onset she started feeling pain in the joints of the feet and ankle joint.  Since 3 months the pain became unbearable limiting  her activities The pain was insidious in onset, slowly progressive dull aching type of pain, non radiating, associated with swelling, stiffness...