B.SHIVAPAL REDDY ROLL NO.15

A 70 yr old male patient toddy climber by occupation and resident of Nalgonda presented to opd with chief complaints of  Swelling in both legs since 15-20 days Facial puffiness since 15-20 days. HISTORY OF PRESENTING ILLNESS- Patient was apparently asymptomatic 3 yrs back. Then he complained of generalized weakness while doing his work which apprently made him discontinue his work.  From past 1 yr he is having constipation 1 episode every 3 -4 days which is occasinally associated with blood which was in minimal quantity. So he visited local doctor with chief complaint of constipation (and he didn't tell about loss of blood in stools back then) . For which the local doctor gave him some medication for constipation which was then temporarily relieved he would have urgency to defecate but would only pass flatus.  There is a history of cough since 4-5 months associated with sputum non blood stained. Excess sputum secretion is present.  He is known to be having intermittent lower leg sw

 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 patients 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 comment box is welcome 35 year old male patient came to causality with the c/o vomitings 3days back (10episodes), associated with blood HOPl:  patient was apparently asymptomatic 3days back then he developed vomiting (10episodes) associated with blood,h/o alcohol consumption 3dyas back no history of bleeding per rectum, abdomen distension, pedal edema,no other complaints. Past History: Not k/c/o DM,HTN,TB,Asthma,CVA,CAD,Epilepsy Personal history:  Occasional alcoholic since 10years  O/E: No pallor/Icter

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-centered online learning portfolio and your valuable inputs on the comment . Khushi Tulsyan Roll no. 75 A 62 yr old male farmer by occupation presented to opd for dialysis.  HISTORY OF PRESENTING ILLNESS- Patient was apparently asymptomatic 1 month back.Then he has shortness of breath while climbing Upstairs ( grade 2) Then he had decreased appetite. Then he started having shortness of breath since 10 days back even while talking . He had a decrease in his appetite since 10 days and low grade continuous fever so he visited local hospital where in routine exam

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-centered online learning portfolio and your valuable inputs on the comment . Khushi Tulsyan Roll no. 75 A 14 yr old male regular school going student resident of narketpally presented to opd with chief complaints of fever and pain below ear since 1 day and facial swelling since morning.  HISTORY OF PRESENTING ILLNESS- Patients was apparently asymptomatic 2 days back. Then he developed fever which was sudden in onset and pain below the ear which was pricking type and aggravated on e eating. He took (Amoxycillin and paracetamol) at home and the fever and pain s

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-centered online learning portfolio and your valuable inputs on the comment" 26 year old Male with Shortness of Breath and Pedal edema since 10 days 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 ref