26 yrs old male with loose stools,generalized weekness .



 24-8-22


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.


Our patient here is a 26 yr old male,  a resident of suryapet , had come wt  complaints of loose  stools since the past  20 days.
 Pt was apparently asymptomatic 2 months ago ,  then he developed bilateral flank pain.  He  also developed loose stools which were insidious in onset with 4-5 episodes per day( 10 days liquid consistency, 10 days hard consistency)  and was suffering from generalized body weakness since 3 months, which was not associated with nausea, vomiting, Fever.

Past history:—
He is a known case of DM since 3 years ( on irregular medication stopped taking insulin 7 months ago)  
No h/o of htn, tb, epilepsy
K/c/o of polio
Surgical history:— underwent appendicectomy 10 yrs back.
Family history:- not significant.

General examination:—
Pt is concious coherent and cooperative , well oriented to time place and person, moderately built and noirished.
Vitals:—
Temp: afebrile 
Bp: 110/ 70 mmHg
PR: 89bpm
RR: 18 cpm

No pallor icterus cyanosis vlubbing lymphadenopathy and edema.









Systemic examination:—
CVS: S1 S2+
CNS: NAD
Lungs: BAE+ 
GRBS : high

On 23-8-22.   12-00am — 356mg/dl
                       8.00am — 96 mg/dl


Fever chart







Renal function tests:-


Complete blood picture:—


Liver function tests:—


Usg:—


Complete urine examination:—



Provisional diagnosis:  chronic diarrhea under evaluation 
Plan of treatment:—

1.IVF-2× NS @75 ml/hr
          2× RL@75ml/hr
2.INJ.HAI 6U IV STAT
3.GRBS 7 POINT PROFILE          
4.BP/PR/TEMP CHARTING 8th hourly







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