16.mounika

70 years old male come with a complaints of bilateral pedal edema since 1 month  decreased urine output and SOB since 25 says      This is an online e-log book to discuss our patient's de-identified health data shared after taking his/her/guardian's 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. Date of admission -24/12/22   Cheif complaint 70 years old male come to OPD with a complaints of bilateral pedal edema since 1 month Decreased urine output since 25 days SOB since 25 days History of present illness Patient was apparently asymptomatic 1 month back than he developed bilateral pedal edema from 1month  up to knee joint pitting type Decreased urine output since 25 days  Associated with SOB grade 2 initially it was grade 1 progresing into grade 2 Associated

20 years old male came to OPD with a complaints of fever cough and vomitings since 5 days  This is an online e-log book to discuss our patient's de-identified health data shared after taking his/her/guardian's 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. Date of admission 3/12/22 Cheif complaint 20 years old male come to OPD with a complaint of  Fever since 5 days  Vomitings since 5 days Cough since 5 days  History of present illness  Patient was apparently asymptotic 5 days back than he developed fever high grade continuous type associated with chills and rigors relieve with medication. Vomitins since 5 days daily 4 episodes non projectile watery in consistency  Cough since 5 days non productive  No h/o burning micturation No h/o loose stools No h/o head ache History

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 avakeilable 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 . A 50 years old male who is a farmer came to casuality with knee pain since 1 year. The pain was insidious in onset and is gradually progressive.  HISTORY OF PRESENT ILLNESS :- Patient was apparently asymptomatic 4 years back. Then he developed knee pain. The pain was insidious in onset and is gradually progressive. He has severe knee pain and pedal edema since 6 days and was admitted in the hospital. He was diagnosed with hyperuricemia and anemia under evaluation.  He has no histor

A 60 year old male came to OPD with the complaint of SOB, bilateral pedal, and decreased urine output since ten days . This is an online e-log book to discuss our patient's de-identified health data shared after taking his/her/guardian's 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. Chief complaint : A 60 year old male came to OPD with the complaint of SOB, bilateral pedal, and decreased urine output since ten days. History of present illness : patient was apparently asymptomatic ten days back then later he noticed sob(grade 2 and grade 3)with aggravating and relieving factors -decreased urine output History of past Illness : - no complaints of burning during micturition -k/c/o- htn since 10 years -n/k/c/o- asthma, epilepsy,cad,tb Treatment history :  -no dm - htn pres

45 years old female came to OPD complaints of loss of appetite, vomiting and itching all over the since seven days. October 22,2022 Chief complaint : patient complaints of loss of appetite and vomitings and itching all over the body since seven days.-patient was apparently asymptomatic 4 years back and developed right loin pain and fever for which she visit NIMS and she also complaints of vomitings single episode immediately after taking food. History of present illness : -no fever-no headache-pain abdomen-chest pain -no loss of appetite since seven days. History of past Illness: -n/k/c/o- htn,DM,asthma,and cadTreatment history:-no diabetes-no htn-no cad-no asthma-no TB-no known history of taking antibiotics and chemo therapy, radiotherapy,blood transfusionSurgeries undergone: right nephrectomy. Personal history -married-occupation: farmer-appetite: lost-mixed diet-bowel and bladder: regular-micturition: normal- no known allergies-no addictione Family history :No other family member