sathwika ammanabolu

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 box.  A 36yr old male  lecturer by occupation came with cheif complaints of abdominal pain since 7days and vomitings since 3days. HOPI  Patient was apparently asymptomatic 7yrs ago then he had episode of dizziness  for which he went to the hospital there he diagnosed with dm and metformin was given 2yrs ago  again he had episode of dizziness then his medication has changed to gm1  Then 2months back again he had episode of dizziness then he shifted to gm2 3yrs ago he used to ...

 A 38 yr old male with chief complaints of abdominal pain.  CASE A 38 year old male came to OPD with chief complaints of abdominal pain since 4days. HOPI Patient  was apparently asymptomatic  4 days ago, then he developed epigastric pain insidious in onset ,continuous, stabbing pain,radiating to back,aggrevated on eating food,relived on bending forward associated with vomitings(10episodes per day which is non-bilious, non-projectile,non blood tinged,content-food material). H/O constipation  since 4 days. H/O bloating  since 4 days. PAST HISTORY   No similar complaints  in the past.  Not a known case of diabetes mellitus, hypertension,  thyroid,  epilepsy.  No history of previous surgeries.  PERSONAL HISTORY  DIET : mixed APPETITE : decreased  SLEEP : adequate  BOWEL : constipation  MICTURITION :no urine output  FAMILY HISTORY  Not relevant  GENERAL EXAMINATION  PALLOR : Absent ICTERU...