BMJ Elective Case Log

Patient Name: Ochna Squarrsal- 2 Age- 61 years Sex- M  Height- 160 cm Weight- 73 Kg Chest- 96 cm Waist- 99 cm BP- 125/85 mm Hg Random blood sugar-  152 mg/dl Case story in patient's perspective:  1. I had had no problem in childhood but when I was 8 years old a dog scratched me (no history of any vaccination).  2. I had a chicken pox and paratyphoid in 1970 and in 1972, respectively.  3. In 1981, I was experiencing a cough which remained till 1990 with occasionally getting relived after taking some medicines from a doctor.  4. In 1990, I got a fever which lasted for about 20 days and after taking some medicines froma doctors it was subsided later on.  5. Beginning from 1998 I was also having sciatica symptoms which persisted till 2005 and it was relived by taking some homeopathic medicines.  6. In the second week of March 2017, I got a motor bike accident. Although no external injuries were evident at that time but some internal injury was seen i

BMJ Elective: A new experience leading a newer perspective....The Patient-centered learning. Science is always changing, and whatever we learn today is soon washed away by a deluge of newer evidence. Currently, medical education is largely limited to the lecture halls, books, and clinics in many parts of the world. We may need to revisit the aspects of traditional medical education system that may need to change or fix and build different mechanisms that will help student critically think, provide an experience and exposure to various patients within a very short time, equip with a platform around which student can learn topics and prepare for the exams, a process keeps one involved,  the facts learned to stay longer than those learned directly from the book, and provide the knowledge about latest research  or management of a particular case, and by closely working with patients one can learn to build better doctor-patient relationship and thus build confidence in clinical de

A 45 year-old, housewife, with the history of hysterectomy 1.5 years back is complaining of generalized weakness, abdominal pain and feeling of hardness like potato below the umbilicus from last January at the site of previous surgery and was gradually worsening in intensity but improves following disappearance of the hardness. She also added that her pain aggravates during coughing. Before surgery (hysterectomy) she used to have frequent urinations and was not able to hold urine and during urination she was feeling that something is swollen and was painful. She was told to have distended urinary bladder which had to be treated by reducing its size during the hysterectomy operation. Although presently she doesn’t feel of a distended bladder but does feel the same pain.   After surgery she was not able to urinate which was managed by putting urinary catheter. She also added that few days after surgery she has had fever and infection at surgical site which was managed with some ant