Animisha Vittalapuram ROLL NO 172

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-centred online learning portfolio and your valuable inputs on the comment box is welcome. This is a case of a  17 year old boy resident of Nalgonda,  student by occupation came to the casuality with the chief complaints of - Giddiness since 1week SOB on exertion  with nausea and vomiting since 2days Fever since 2 days History of presenting illness -  Patient was apparently asymptomatic 1week back,  then he developed giddiness which was sudden in onset on standing and sitting posture with no aggravating factors and is  relieved on consumption of food.  Later he

  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-centred online learning portfolio and your valuable inputs on the comment box is welcome. A 56 year old male agricultural labourer by occupation, r esident of Muthagudem came to  OPD  on 13/01/22 with the chief complaints of-  Pain abdomen since 20 days    Vomitings since 20 days  Fever since 15 days  Decreased urine output since 15 days Patient was apparently asymptomatic 3 years ago and then he developed  B /l  loin pain which was sudden in onset gradually progressive and associated with high grade fever . 1 year ago he developed pedal edema  upto ankle,

  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-centred online learning portfolio and your valuable inputs on the comment box is welcome. This is a case of a 13 year old boy who came to OPD with the chief complaints of-  Yellowish discoloration of the eyes since 9 days. Yellow coloured urine since 9 days. Patient history :  Youngest child Normal vaginal delivery Birth weight : 4.5 kg At birth : Patient had jaundice and it resolved spontaneously (physiological jaundice). Immunised as per schedule. At 8 months: He had altered bowel habits - loose stools for a week and another week he had normal consistency

 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.  Chief complaints : A 50 year old male patient, construction worker by occupation came with complaints of  Loss of appetite since 25 days History of presenting illness - Patient was apparently asymptomatic 2 years back, then he went to the hospital with complaints of loss of appetite and was diagnosed to have renal failure and hypertension. Patient had dialysis beginning from 2019 till 2020 outside hospital  Then in 2021 he came to our hospital and had 2-3 dialysis after which dialysis was stopped and he was on conservative management and had regular follow ups. He came with complaints of loss of ap