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 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. Date of admission: 15/10/21 A 50 year old female came to the OPD with chief complaints of lower backache, decreased urine output, shortness of breath and fever since 4 days. History of present illness: The patient was apparently asymptomatic 4 days back when she noticed a pain in the lower back and decreased urine output and shortness of breath. History of past illness: The patient is a known case of hypertension since 7 years. Not a known case of diabetes,asthma, epilepsy, tuber

 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. Chief complaint: A 55- year old male presented to the OPD with chief complaint of shortness of breath since 2 days. History of present illness: Patient was apparently asymptomatic 2 months back then developed pedal edema- pitting type grade-1 then gradually progressed to grade-2 over 10 days and to grade-3 over 15 days. Past history: The patient has a history of pulmonary koch's 21 years back and had ATT for 6 months. Known case of hypertension. No history of asthma, diabetes

 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: 23/09/2021 A 85 year-old man, who is a farm worker by occupation, presented to the hospital with complains of - Weakness of left upperlimb and lowerlimb since 20 days -Deviation of mouth towards left side since 20 days - Difficulty in swallowing since 20 days. History of present illness: The patient was apparently asymptomatic 20 days back then had sudden weakness in left upperlimb and lower limb one morning. He couldn't walk and also noticed difficulty in swallowing. He was taken to the local hospital and was later referred to Kamineni for further treatment. Past history: The patient

 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. Date of admission:12-09-21 A 70 year old female came with a chief complaint of pain in the stomach since 15 days. History of present illness: The patient was apparently asymptomatic 2 months back then developed shortness of breath. And pain in the stomach since 15 days. She also experienced 4-5 episodes of loose stools 3 days back which then subsided. 4 days back the patient had high grade fever which subsided. The patient is currently undergoing dialysis since 1 week. History of past illness: The patient is a known case of hypertension since 20 years and is on medication. She is not a known case of