SNEHA YERUKALA ROLL NO 149

 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 clinical problems with collective current best evidence based inputs. A 57 yr old male patient resident of gopalayapalli came to opd with chief complaints of generalised edema and decreased urine output since one month, chest pain since 4 days. HISTORY OF PRESENT ILLNESS: Patient was apparently asymptomatic one month back later he developed swelling of face followed by abdomen and limbs which is pitting type since one month.  He had decreased urine output since one month.Intially there was dribbling of urine later there was complete stoppage of urine. He had chest pain since 4 days which was sudden in onset, dragging type,radiating towards back,and aggravated at night. H/o fever ass

CHIEF COMPLAINTS:- A 13yr old boy came to opd with chief complaints of yellowish discoloration of the eyes, yellowish green coloured vomitings and also had yellow coloured urine since 9 days. Patient history : AT BIRTH: Patient developed jaundice and it resolved spontaneously. AT 8 MONTHS: He had altered bowel movements ,for 1 week he had loose stools and another week he had normal consistency.later he had loose stools every day for 2-3 days during which he became cachexia.He got admitted in hospital and they mentioned as suspected case of celiac disease,chronic diarrhoea,chronic malabsorption. He was treated with IV antibiotics and 2 FFP transfusions. He recovered within 3 months. He also had recurrent attacks of cold,cough and fever.He used inhalers for 1 year during winters. AT 9 YEARS: He had neck swelling and diagnosed with hypoth yroidism (Initial TSH levels-150).He was started with THYRONORM 150 mcg which later increased to 180 mcg. He also had chronic itching over hands and foo

 

  60 year old female with cough and fever November 13, 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 Elog book also reflects my patient-centred online learning portfolio and your valuable inputs on the comment . Patient and his/her attenders have been informed and their consent has been taken. November 2 2022 Date of admission:31 October 2022 CHIEF COMPLAINT: patient came to the opd with complaints of fever since 5 days and c/o cough associated with sputum since 5 days  C/o hoarseness of voice and throat pain since 5 days  C/o decreased appetite since 5-6 months  C/o weight loss approximately 20kg over the last 1 year. HISTORY OF PRES