MADHYABOINA SRIBINDU ROLL NO 80

55yr/M with dengue CBBLE UDHC SIMILAR CASES 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 CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE BASED INPUT. A 55 yr old male patient came to opd with chief complaints of fever and headache since 5days. History of present illness:— patient was apparently asymptomatic  8 days back,then he developed low grade fever which is intermittent and is not associated with chills and rigors. Fever relieves on medication. Headache is in frontal region and is not associated with vomitings ,giddiness and blurring of vision. No history of malena or hematuria. Past history:— No H/O dm,htn,thyroid,asthma,epilepsy. Family history:— not significant Treatment history:— none Personal history:—  M

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-centered online learning portfolio and your valuable inputs on the comment box A 57 year old male patient with bilateral pedal edema 57 year old male farmer by occupation Came with complaints of fever since 3 days. History of present illness:— Patient was apparently asymptomatic 4 months back then he developed:  Bilateral pedal edema, pitting type, insidious in onset, gradually progressive from ankle to below knee H/o dcreased urine output No h/o palpitations or burning micturition or chest pain. C/o B/L knee pain since 4 months Patient went to the outside hosp

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 a series of inputs available global online community of experts with the aim to solve the patient’s clinical problems with the collective current best evidence based inputs. This E log reflects my patient centred online learning portfolio and your valuable inputs in the comments section. Case discussion: 27 year old male came to OPD with chief complaints of fever since 10 days, abdominal pain since 10 days, nausea, vomiting since 10 days He starts his day at 7 am who works as a car driver who is an occasional Toddy drinker ( 1 glass of intake for any occasional festival )  History of presenting illness: Patient was apparently asymptomatic 10 days ago when he attended a function where he consumed 1 litre of Toddy along with red meat , following next day he experienced  pain abdomen  which

  A 24 year old, sand contractor by occupation, came with complaints of  Generalized weakness since 1 week Loss of appetite and loss of weight since 1 week.  History of presenting illness   Patient was apparently asymptomatic 1 week back and then developed generalized weakness, loss of appetite and weight loss (approx 2 kgs) for which he came to the hospital and got diagnosed with Diabetes, one day back.  No h/o fever, abdominal pain, vomittings, diarrhoea, chest pain or palpitations.   Patient also complained of increased frequency of micturition since 6 days, he had to wake 3-4 times at night to urinate and passed urine 3 times in the day. Gives history of increased thirst as well.  Patient gives history of one episode of Giddiness 10days and went to local RMP, where they recorded a BP of 180/100 mm Hg, so they gave him injections and tablets(unknown).  Patient has significant alcohol consumption history. He started drinking since the age of 12. He was apparently rewarded for all the

A 60 yr old man ,driver by occupation diagnosed with diabetes 15 yrs back came with chief complaints of Pedal oedema since 15 days Sob since 5 days Decreased urine output since 3 days Fever since 5 days History of presenting illness Patient was apparently asymptomatic 15 days back ,then developed pedal oedema upto ankle ,which is pitting type, shortness of breath since 5 days  which is grade 4, Fever since 5 days ,which is continous,associated with vomiting n cough Vomiting of one episode which bilious n non projectile 5 days back Cough since 5 days with sputum,which is red in colour reduced after medication Past history  He had a history of giddiness for which he went to hospital and Diagnosed with Diabetes since 15 yrs Had history of TB 15 yrs back ,which is treated with medication Diagnosed with HTN 2 yrs back Not known case of asthma,cardiovascular disorder n thyroid disorders PERSONAL HISTORY Alcoholic since 30 yrs Family hisotry  Not significant General examination Patient was co