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Final short case

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This is a 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 patients problems through series of inputs from available global community of experts with an aim to solve those patients 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 in comment box is welcome. CHIEF COMPLAINT: 38 year old female, housewife,came to opd with chief complaints of :      Poor stream of urine since 1 month       Dysuria since 15 days       Burning micturition since 10 days       Pain in lower abdomen since 10 days HISTORY OF PRESENT ILLNESS: Patient was apparently asymptomatic 1 month back , then she developed poor stream of urine  she developed pain during micturition since 15 days which is insidious onset.  Burning micturition since 10 days with no H/O haematuria, retention of
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A 45 YEAR OLD MALE WITH BOTH LOWER LIMB PAIN

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CHIEF COMPLAINT: A 45 year old male patient resident of Battugudem ,Auto driver by occupation came to casuality with a chief complaint of both lower limb pain ,Facial puffiness and back pain since 15 days HISTORY OF PRESENT ILLNESS: Patient was apparently asymptomatic 15 days back then he developed left foot pain and right knee pain went to miryalaguda local hospital, necessary investigations were done and as told he has kidney issue and 3 days later started having both lower limb pain associated with calf stiffness,non-radiating and back pain. HISTORY OF PAST ILLNESS: N/k/c/o H/O DM,BP,TB,CAD,CVD,Asthma PERSONAL HISTORY: Appetite-Normal Diet-Mixed Sleep-disturbed Bowel and Bladder movement -Regular No known allergies Smoking -18 beedi per day Alcoholic regularly-quarter/day FAMILY HISTORY: No known significant Family history PHYSICAL EXAMINATION: Patient is conscious, coherent and cooperative. -No pallor -No Cyanosis -No icterus -No lymphadenopathy -No clubbing of fingers
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A 35 YEAR OLD MALE WITH FEVER,CHILLS And ABDOMEN PAIN

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-CHIEF COMPLAINT: •A 35 year old male patient , Carpenter by occupation came to casuality with a chief complaint of Fever,chills and pain in right side of abdomen since 5 days. -HISTORY OF PRESENT ILLNESS: •Patient was apparently asymptomatic till 6 days back then he had developed fever(high grade) and chills which used to relieve on medication,From 5 days patient had developed abdomen pain in right hypochondrium region ,Right lumbar region(non radiating) -HISTORY OF PAST ILLNESS:   No H/O DM,BP,TB,CAD,CVD,Asthma -PERSONAL HISTORY: Appetite-Normal Diet-Mixed Sleep-Adequate Bowel and Bladder movement-Regular No known allergies No smoking Alcoholic regularly -FAMILY HISTORY: No known significant Family history -PHYSICAL EXAMINATION: Patient is conscious,coherent and cooperative -No pallor -No Cyanosis -No icterus -No lymphadenopathy Temperature -Afebrile Pulse rate-98/min Respiration rate-22/min BP-110/80 mm Hg Spo-98 percent -SYSTEMIC EXAMINATION: CVS S1 and S2 sounds are he
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A 55 YEAR OLD MALE WITH ACUTE PANCREATITIS

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This is an online e-log book to discuss our patient's de-identified health data shared after taking his/her/guardian's 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. Date of admission:31-10-2022 CHIEF COMPLAINT: 58yr old male patient ,he's a cook by occupation came to casuality with a C/O pain in upper abdomen, with vomitings since yesterday morning. HISTORY OF PRESENT ILLNESS: Patient was apparently asymptomatic upto yesterday  Later he developed pain in upper abdomen Which was sudden in onset Progressive and non radiating and not relieved on medication. H/O Vomiting since today mrng 5-6 episodes,water as content,non projective ,non bilious No H/O fever, constipation, loose stools Patient started drinking alcohol 15yrs back ,he consumes 90ml daily at night.  HISTORY
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A 60 YEAR MALE PATIENT WITH FEVER ,CHILLS,RIGOR &LOSS OF APPETITE.

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A 60 year male patient with fever ,chills, rigorand loss of appetite November 26, 2022 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: Pt complaints of fever and chills since 5 days and constipation since 4 days. History of Present Illness: Patient is asymptomatic since 5 days ago then developed low grade fever associated with chills and rigors.  C/o decreased appetite since 5 days. C/o constipation since 4days. No H/o bleeding and dark colored stools. Increased frequency of micturition since 1 month. Headache,
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A 55YR OLD FEMALE COMPLAINS OF FEVER,DECREASED APPETITE SINCE 1 MONTH ,BREATHLESSNESS SINCE 1WEEK,VOMITINGS &LOOSE STOOLS SINCE 3 DAYS.

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A 55yr old female complains of fever,decreased appetite since 1 month, Breathlessness since 1 week,vomitings and loose stools since 3 days. 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: Pt complains of fever,decreased appetite since 1 month, Breathlessness since 1 week,vomitings and loose stools since 3 days .  HOPI: Patient was apparently asymptomatic 3 months back. Then she had multiple swellings in front of the left ear, for which she developed fever which was lowgrade, intermittent, no evening rise of temp
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