15 year old boy with chest pain and dyspnea
NOTE: THIS IS AN ONLINE E LOGBOOK 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 A SERIES OF INPUTS FROM THE AVAILABLE GLOBAL ONLINE COMMUNITY OF EXPERTS INTENDING TO SOLVE THOSE CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE-BASED INPUT PAST HISTORY: Pt is a 15-year-old boy, studying in class 10. At the age of 8 - 9 yrs, he used to have nonspontaneous whole body/jt. pain and aches (2 - 3 episodes every day), pain in the lower back, sometimes accompanied by fever; for which he got treated by a Clinician (recommended Ibuprofen syrup), and the problem was resolved. At the age of 9 - 10 years while learning how to ride a bicycle he was involved in an accident which resulted in the fracture of his rt. humerus. Had to use an arm sling pouch and it healed within 2 - 3 months. He recalled that after the accident he was senseless for almost an h