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 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: 20/11/2021 A 48 year old male who is farmer by occupation came to the OPD with chief complaints of bilateral pedal edema and pain in the abdomen since 20 days. History of present illness: The patient was apparently asymptomatic 10 years back when he started developing depression and was addicted to alcohol. 9 years back he made a suicide attempt by consuming poison for which he was brought to Kamineni and treated. An year later he again made a suicide attempt where he consumed sleeping pills and he was treated accordingly. 5 years back he had pain in the abdomen following which he was dia

 1) Anatomical and etiological localization for hemiparesis and further management 2) Etiology, pathogenesis ,clinical features, management and complications of acute pancreatitis 3) Dengue fever clinical features and complications 4) Cushing syndrome 5) Mandibular advancement device. 6) Cardiogenic pulmonary edema 7) Rheumatoid arthritis 8) Leptospirosis 9) Heart failure 10) Ascites 11) Pyrexia of unknown origin 12) Drug induced liver injury 13) Evaluation of low back ache 14) Renal artery stenosis 15) Acute kidney injury 16) Oral hypoglycemic agent 17) Microvascular and macrovascular complications of diabetes 18) Lights criteria 19) Metabolic acidosis 20) Iron deficiency anemia

 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: 02/11/2021 A 40 year old female who is a farm worker by occupation presented to the OPD with chief complaints of fever, dry cough and breathlessness since 2 days. History of present illness: Patient was apparently asymptomatic 2 days back then developed high grade fever with chills which is intermittent, relieving on medication. The patient also developed headache and vomitings(2-3 episodes/day). Past history : Not a known case of Hypertension, Diabetes mellitus,