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Short case

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 This is an online e log book to discuss our patient de-identified health data shared after taking his /her /guardians signed informed consent.Here we discuss our individual patients problem through series of inputs from available global online community of experts with an aim to solve those patients clinical problem with collective current best evidence based input. This e blog also reflects my patients centered online learning portfolio and your valuable inputs on the comment box is welcome. Chief complaint: A 13 year old female came to OPD with complaints of abdominal pain since 2 days  HISTORY OF PRESENTING ILLNESS - Patient was apparently asymptomatic 2 days ago then develop epigastric pain on radiating moderate severity and gradually progressive. PAST HISTORY  Pt is a known case of sickle cell anaemia since 2012  History of sickle cell crisis 2016 History of pancreatitis 2019 Last blood transfusion 2020 PERSONAL HISTORY : DIET - MIXED, APPETITE -NORMAL , BOWEL MOVEMENT - REGULAR
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Longcase

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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 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. 32 YEAR OLD MALE WITH CKD ON MHD 32 year old male, worker in an electrical industry in Mumbai came to the OPD, on 10/10/21 with right hip pain. HOPI: Patient was apparently asymptomatic 3years ago, then he developed pain in loin region for which he went to a private hospital in mumbai and was diagnosed with bilateral renal calculi and bilateral stents were placed (patient attender said that there was no problem in kidney function at that time). Patient had no problem after that and continued to work. After 4-5months the stents were removed, just 1 week after stents were removed patient again had pain in his loin
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AKI 2°to UTI

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  Date-20/12/21. "This is an online E log book to discuss our patients 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". Date of admission-13/12/21. 70 years old male daily wage labourer by occupation came to the casuality with the chief complaints of;  BURNING MICTURATION -for 4 days SHORTNESS OF BREATH with wheeze-for 4 days FEVER WITH CHILLS-for 4 days HISTORY OF PRESENT ILLNESS; Patient was apparantly asymptomatic 11 days  ago having a normal daily routine,he used to wakeup early in the morning around 5.00am and around 9 am he used to go to farm land, he used to return home by 6.pm and he used to sleep by 9.pm.4 days ago he developed fever with chills which is intermittent ,then their family members took h
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Dilated cardiomyopathy case

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  In this online e-logbook, we upload our patients de-identified health data shared after taking his/guardian's signed informed consent. Here we discuss our individual patient problems through series of inputs from an available global online community of experts with an aim to solve those patients clinical problems with collective current best evidence-based inputs. A 50 year old male patient presented to OPD with chief complaints of pedal edema since 2 months, decreased urine output since 15 days,abdominal distension since 15 days,SOB Since 15 days. History of present illness:- Patient was apparently asymptomatic 2 months ago then he developed pedal edema started in foot and spread to knees and the edema increased since 15 days,break in the stream of urination,SOB Grade 3. Known case of diabetes since 5 years and on oral hypoglycemic drugs. Not a known case of HTN. History of deviation of mouth to left since childhood. Personal history:- Diet:-Mixed  Bowel and bladder:-Normal Mict
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2nd Internal assessment

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11.Pyrexia of unknown origin  Ans:-                                                                  12.Drug induced liver injury             13.Evaluation of low backache.             14.Renal artery stenosis                       15.Acute kidney injury.                        16.oral hypoglycemia agent  17.Micro and macrovascular problems in diabetes.    18.Lights criteria 19.Metabolic acidosis  20.iron deficiency anemia       08.Leptospirosis                         03.Dengue fever  04 .Cushing syndrome  06.cardiogenic pulmonary edema 07.Rheumatoid arthritis 09.heart failure 10.Ascites 02.Etiology pathogenesis clinical features and management of acute pancreatictitis 01.Anatomical and etiologic localization for hemiparesis and further management 
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