50F Rt Leg Neuropathy1999 Uterus 2013 Oral bleed 2015 Bhopal 2019 NKP Nasal cyst WB PaJR

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.

The PHR, patient journey record PaJR transcripts below reflect the therapeutic uncertainties around the patient and their resolution through team based learning :

Here's the rest of the discussions not yet updated in the case report 👇

[9/27, 9:18 PM] PA:  Anar onek din jabot pa r betha majhe majhe pa iboa hye jai

[9/27, 9:22 PM] PaJR PHR Moderator: অনুগ্রহ করে রোগীর পেট এবং বাহুর পেশীর ক্লিনিকাল ফটো পোস্ট করুন যেমনটি নীচের ছবিতে দেখানো হয়েছে:

https://userdrivenhealthcare.blogspot.com/2024/08/template-for-pajr-user-driven-history.html?m=1

এবং অন্য কোনো সমস্যাযুক্ত শারীরিক অংশের ছবি পোস্ট করুন যাতে রোগীর পরিচয় প্রকাশ না হয়

[9/28, 9:53 AM] PaJR PHR Moderator: Both legs pain?

[9/28, 9:53 AM] PA: Ha

[9/28, 9:54 AM] PaJR PHR Moderator: Need one photo of the arms and abdomen taken from the side

[9/28, 9:54 AM] PaJR PHR Moderator: 👆Please provide a pointer to the exact location of the pain

[9/28, 9:59 AM] PaJR PHR Moderator: Both sides?

[9/28, 9:59 AM] PaJR PHR Moderator: 👆

[9/28, 10:01 AM] PA: Ok

[9/28, 11:50 AM] PaJR PHR Moderator: Saamne pichone du dikei?

[9/28, 12:56 PM] +PA: Ha

[9/28, 4:50 PM] PaJR PHR Moderator: Same du payeyi?

[9/28, 5:10 PM] PA: Ha

[10/22, 7:12 PM] PaJR PHR Moderator: 50F with subjective neuropathic pains in both lower limbs 25 years once weekly exacerbated .

Saw her first in 2013 for menorrhagia for the first time in Bhopal, second time in 2015 again in Bhopal for oral bleeding and here in 2019 for intranasal tumor

[10/23, 10:53 AM] PaJR PHR Moderator: @⁨PAJR_DOC please share this patient's hemogram

Admitted here in March 2019

Her hemogram in March 2023

PAJR DOC: 

[10/23, 4:30 PM] PaJR PHR Moderator: Refractory Anemia since 2019 or earlier! Muscle cramps and neuropathic numbness and lancinating pains could be related to that?