RACHANA VANKAMAMIDI ROLL NO 167

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 A 35 year old male who is daily wage worker came with chief complaints of shortness of  breath and fever since 1 week.  HISTORY OF PRESENT ILLNESS  Patient was apparently asymptomatic 1 week back, then he developed  • shortness of breath on exertion, since 1 week. • high-grade fever since 1 week, more during night, relieved on medication and relapses back. • decreased urine output since 1 week • dragging type of pain in both legs and hands, associated with generalis

 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: A 35 year old male patient came to casualty with chief complaints of 1:SOB Since 7-10days 2: Palpitations since 7days 3:Pedal edema since 2days HISTORY OF PRESENTING ILLNESS: Patient was apparently asymptomatic 10days back then he developed sob which was started insidiously, progressing over time, exertional, non seasonal, reached the present state of shortness of breath at rest(grade-4). Associated with increase during sleeping position and  relieved during sitti

 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: 27/10/22: A 54 year old male presented to casualty in altered state with hiccups since 5days, uprolling of eyeball and frothing since morning i.e., on 27th oct (day of admission). HISTORY OF PRESENTING ILLNESS: Patient was apparently asymptomatic 22yrs back after which he started consuming tobacco in the form of chewing ghutka. Initially he used to consume 1packet/day which gradually progressed to 8packets everyday currently. Patient is currently in drowsy state,h