B.SHIVAPAL REDDY ROLL NO.15

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 A SERIES OF INPUTS FROM THE AVAILABLE GLOBAL ONLINE COMMUNITY OF EXPERTS WITH AN AIM TO SOLVE THOSE CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE-BASED INPUT  Case Report- A 60yr old female resident of Narketpally agriculture labourer by occupation came to GM OPD with CHIEF COMPLAINTS Fever since 4 days  Decreased micurition since 4 days History of Presenting Illness Patient was apparently asymptomatic then she developed high grade fever 4 days back intermittent in nature not associated with cold cough and no burning micurition but decreased micurition was seen. 5 years ago patient had selling at sacral region which increased progressively in size (not measured),no disturbance in power and tone of muscles and bowel and bladder were regular 2 years back patient  p