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 is welcome.”  Case:A 55 yr old male toddy tree climber by occupation came to OPD with cheif complaints of   sob at rest since 2 days High grade fever since 2 days Dry cough since 1day HopI: Patient was apparently asymptomatic  3yrs ago then he developed sob( grade -1)mmrc which is insidious in onset,non progressive till 10/4/23 Aggrevated on exposure to cold weather and dust relieved on medication and on rest Not associated with orthopnea and pnd On 10/4/23 patie...

 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 is welcome.” This is a case of 65yr old female came from nlg homemaker by occupation came with  Cheif complaints of itching since  5yrs Hopi  Patient was apparently asymptomatic 5yrs ago then she developed itching over the left leg below the knee (she noticed hyperpigmented patch ) intially it was small later it covered  most of the anterior surface of the leg  Since 1month she is experiencing more itching 5yrs ago she went to the hospital where they prescri...

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...