Vamsi Roll no 23

 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 Cheif complaints     Bilateral pedal oedema since 4 days  SOB - since 4 days  ( grade 2)   Reduced urine output - since 4 days  History of present illness  Patient was apparently asymptomatic 2 years ago then developed loin pain , pedal edema and facial puffiness,  after then he went to hospital and diagnosed as renal disease which progressed even after medication . After that due to failing of kidney he had undergone for dialysis - 1 yr back.  Now he has pedal edema which is of pit

  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 is welcome.  A 75 yr old male resident of suryapet came with CHEIF COMPLAINTS   Bilateral knee joint pains since 1yr History of presenting illness  Patient was apparently asymptomatic 2 yrs back then he developed knee pain for which he went to a local hospital where they given medication for pain , pain relives on medication temporarily pain in  both knee joints which is insidious onset and gradually progressive and pricking in nature which aggravates on walking and climbing stai

  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 48 yr old male welder by occupation came to opd Chief complaints Fever since -    4 days  Chest pain -     5 days HOPI Patient was apparently asymptomatic 4 days back then he developed fever which is intermittent and associated with chills and rigor, no burning micturation  Chest pain on and off and non radiating Past history   Patient was K/C/O diabetes mellitus since 4 yrs and on inj MIXTARD  Patient was having complaints of weight loss, fever 4 yrs ago and diagnosed with pul