Final practical examination(short 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 patient's problems through series of inputs from available global online community of experts with an aim to solve those patients 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 comment box is welcome 18year old girl came with chief complaints of fever since 2months , joint pains since 2months, vomiting 2 months back for 1week, headache 2 months back. HOPI :- Patient was apparently asymptomatic 2months back ,then she developed fever following after fever subsides pt started having pain in the interphalangeal joints of left hand.Then later to other joints ,subsides with medication and relapse after stopping the medication.now she has h/o fever with multiple joints pains (small j