61. P. Nikhila

  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 INPUT. Date of admission: 08/02/2022 Chief complaint: A 50 year male farmer by occupation presented to casualty in stuporous  state with complaints of  -pain abdomen since15 days -Loss of appetite since 10 days -H/o fever since 3days. -h/o vomitings since 3 days -h/o constipation since 3 days -h/o altered sensorium since 3 days -h/o yellowish discoloration of urine since 2 days History of present illness: Patient was apparently asymptomatic 15 days back,then he developed pain abdomen in epigastric region associated with 3 episodes of vomitings-food particles as content. Constipation present since 3 days,passing flat

 1) Define heart failure. Etiology and clinical features of heart failure? How do we diagnose heart failure clinically. Physical examination and various modalities used in diagnosis of heart failure. Write a brief note of treatment of heart failure. 2) Define cirrhosis of liver. Etiopathogenesis of cirrhosis. Write a brief note on clinical features, diagnosis and treatment of cirrhosis of liver. 3) Elaborate on clinical features and diagnostic modalities in diagnosis of renal calculi. 4) Etiology of pleural effusion. Diagnostic criteria of pleural effusion. 5) Diagnosis and treatment of dengue fever. 6) Clinical features and diagnosis of peptic ulcer disease.  7)Treatment of acute pyelonephritis. 8) Treatment of abdominal tuberculosis. 9) Etiology and treatment of pneumonia. 10) Complications of dialysis. 11) Ascitic fluid analysis. 12) Proton pump inhibitors. 13) Afterload reducing agents in heart failure. 14) Treatment of urinary tract infection. 15) Differential diagnosis of fever w

 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" Date of admission: 20/12/2021 A 35 year old male patient presented to the hospital with chief complaints of fever associated with chills since 4 days and shortness of breath since 1 day. History of present illness: The patient was apparently asymptomatic 4 days back then he developed fever associated with chills. - Shortness of breath since 1 day On 20/12/2021, in the morning the patient lost consciousness for which he was taken to a local hospital and then was referred to Kamineni