MITTAPALLI AISHWARYA ROLL NO 91

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 INPUT." DATE:— 17 march 2022 A 48 yr old woman farmer by occupation came to opd with chief complaints of swelling in the neck and weight loss since 2 months. History of present illness:—  Patient was apparantly assymptomatic 1yr back , then she devoleped pea sized swelling in the neck gradually progressive to the present size . C/o swelling in the neck since 1yr C/o hoarseness of voice since 6 months C/o difficulty in swallowing since 6 months H/o weight loss since 2 months. Past history:— No c/h/o dm , htn,asthma and tb.                  H/o   Thyroid since 1 year  Treatment history:— carbimazole (25mcg) since 1

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 INPUT.     This E blog also reflects my patient centered online learning portfolio and your valuable inputs on the comment box is welcome. Date:— 16 march 2022   A 50 year old male patient is on maintainance haemodialysis since 10 months. HOPI: patient was apparently asymtomatic 4yrs back and then developed shortness of breath (on and off), pedal oedema (pitting type).Later diagnosed as chronic renal failure and underwent dialysis twice weekly for about 10 months. 6 years back he met with an accident. His right leg got fractured and it took nearly 1 year to heal for which he used few medication continuosly for 1 year. PAST HISTORY: k/c/o HTN since 1

   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 Date:— 15 march 2022 A 57 year old male patient with bilateral pedal edema 57 year old male farmer by occupation Came with complaints of fever since 3 days. History of present illness:— Patient was apparently asymptomatic 4 months back then he developed:  Bilateral pedal edema, pitting type, insidious in onset, gradually progressive from ankle to below knee H/o dcreased urine output No h/o palpitations or burning micturition or chest pain. C/o B/L knee pain since 4 months Patient

 55yr/M with dengue CBBLE UDHC SIMILAR CASES 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 INPUT. Date:— 14-3-22 A 55 yr old male patient came to opd with chief complaints of fever and headache since 5days. History of present illness:— patient was apparently asymptomatic  8 days back,then he developed low grade fever which is intermittent and is not associated with chills and rigors. Fever relieves on medication. Headache is in frontal region and is not associated with vomitings ,giddiness and blurring of vision. No history of malena or hematuria. Past history:— No H/O dm,htn,thyroid,asthma,epilepsy. Family history:— not significant Treatment history:— none Perso

 39 yr/M with CKD 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 INPUT A 39 yr old male patient cane to opd with  C/o pedal edema, shortness of breath and decreased urine output since 4 months. He is undergoing sessions of hemodialysis and is under conservative management for 4 years . Past history:—    k/c/o - htn since 4 months              No k/c/o dm/asthma/thyroid/epilepsy. Personal history :—  Married Diet- mixed Appetite- normal Sleep- inadequate Bowel movements- regular Bladder movements- decreased (decreased urine output) Addictions:— smoking  🚬  (since 2yrs) No known drug allergies. Family history:— not significant  General examination:— —Patient is con

  59Y/F with hyponatremia CBBLE UDHC SIMILAR CASES 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 INPUT A 59Y/F  brought to the casualty with c/o involuntary movements of B/L upper limbs and lower limbs ,GTCS type , with uprolling of eye, tongue bite, involuntary micturition, lasting for 2.min , with post ictal confusion + ,aura -. H/o vomitings, (4-5 episodes in a day), nonbilious, non projectile, food particle as content H/o pain abdomen since yesterday diffuse type,  No c/o cold, cough, fever, burning micturition, headache ,trauma, Loc. Past history:-N/k/c/o Dm/htn/epilepsy/ CAD/Ba/thyroid disorders. Personal history:- Married Occupation Housewife Diet  - Mixed