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 also reflects my patient-centered online learning portfolio and your valuable inputs on the comment . N Akshaya Roll no 197 A 31 year old female came to opd with chief complaints of fever since 2 months and also headache since 2 months History of presenting illness : Patient was apparently asymptomatic 2 months back then she developed fever which is insidious in onset , associated with chills and headache . No history of nausea and vomiting , no photophobia. Phonophobia present,burning micturition present , complaints of generalised bodypains which is relieved on medication . Joints