Medical log book by Vamshi

 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-centred online learning portfolio and your valuable comments on comment box are welcome   CASE DETAILS HISTORY:         A 42 yr old male, farmer by occupation, was brought to the casualty with chief complaints of altered sensorium, vomitings and fever since 2 days and was unresponsive since 2 days. On evaluation, his GCS was E1V1M4. HOPI: Patient presented with complaints of 2 episodes of vomitings, 2 days back, with food as it's contents, and sudden in onset (?PROJECTILE). The episode was preceded by hiccoughs. Following the episode, he had frothing