42Meghanapriya Gen medicine

 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

  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