Megha

  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. Chief complaints - 69year old female resident of Nalgonda came to the OPD with chief Complaints of shortness of breath and weakness since 2 days, fever(high grade) since 2 days  hoarseness of voice since 10 days and  cough since 1 week  History of Present Illness: She was apparently asymptomatic 10 days ago, then started complaining of horseness of voice which began gradually Cough since 1 week, dry in nature Shortness of breath since 3 days (grade 1) Fever high grade associated w

  This is an E-log book to discuss  our patient's de-identified health data shared after taking his guardian sign informed consent.Here we discuss our individual patient problems through series of inputs from available global online community of experts with an aim to solve those patient's clinical problem with collective current best evidence based inputs.This E-log book also reflect my patient  centered online learning portfolio. A 56 year old man came to OPD with the chief complaint of pain in abdomen, abdominal distension and decreased urine output since 4 days. Patient was apparently asymptomatic 4 days back,then he developed pain in abdomen (upper abdominal region).He complained of distension of abdomen since 4 days. No history of nausea, vomitings and constipation.last alcohol consumption 5 days back. HISTORY of Past Illness  Patient is alcoholic  Patient has wrist pain since 2 years. Not a known case of diabetes mellitus, hypertension and CAD. PERSONAL HISTORY Diet: mix