Akshaya Nellikonda roll no 197

  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 reflects my patient centered online portfolio and your valuable inputs on the comments is welcome.” 40 YEAR OLD MALE WITH WEAKNESS IN LEFT UPPER AND LOWER LIMBS A 40 year old male patient,  tyre puncture repair worker by occupation,  hailing from Tirumalagiri,  came to the GM OPD with  chief complaints  of : ‐ Giddiness ‐ Weakness of left upper and lower limbs 6 days ago HISTORY OF PRESENT ILLNESS:  About 6 days back, when the patient was doing his normal routine daily work,  he had a sudden onset of giddiness with weakness and paresthesia in his left upper and lower limbs. He also developed slurri

  48 Year old male toddy climber by occupation resident of kattangur came with chief complaints of  Fever since 7 days Cough since 4 days Chest pain since 4 days Shortness of breath since 4 days History of present illness Patient complained of fever which was sudden in onset associated with chills relieved by medication. 4 days ago he also complained of drycough and shortness of breath progressed from grade 3 to grade 4.  He also complained of left sided chest pain dragging type aggravated by cough.  4 years ago History of similar episodes of fever and chills and got hospitalized where he was diagnosed with diabetes mellitus but on irregular medication. He has history of seizures since 5 years 5 episodes in last 5 years. Due to heavy alcohol intake he was hospitalized and was diagnosed with jaundice and fatty liver. Last episode a year ago. No history of orthopnea PND. Past history  No history of Hypertension Tuberculosis Asthma CAD. Family history  Not significant  Personal history  H

 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 . N Akshaya Roll no 197 A 62 year old female , farmer by occupation came to opd with chief complaints of nausea and vomiting since 10 days , fever. History of presenting illness: Patient was apparently asymptomatic 6 months back then one month ago she developed pedal oedema bilaterally , insidious in onset , gradual in progressive , bilateral pitting edema extended to knees. Past history No h/o shortness of breath No h/o similar complaints in the past  H/o diabetes since 10 years  Fam

 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. N Akshaya Rollno 197  A 58 year old man , labourer by occupation, came to the OPD with the chief complaints of Shortness of breath since 2 weeks , worsened 3 days back, facial puffiness since 1 week History of Presenting illness -  Patient was apparently asymptomatic 4 years ago 4 years ago - pt complained of giddiness, went to a local hospital and was diagnosed as Hypertensive,then they gave medication for htn   since then T. Nicardia 10mg. 2 years back Pt developed B/L pedal edema,