43 PREETHI REDDY.G

THIS IS AN ONLINE E LOGBOOK 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 A SERIES OF INPUTS FROM THE AVAILABLE GLOBAL ONLINE COMMUNITY OF EXPERTS WITH AN AIM TO SOLVE THOSE CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE-BASED INPUT .  A 49 yr old male resident of cherlapally came to the opd with the chief complaints of pain in the right lower leg since 20 days and fever since a week .  HISTORY OF PRESENT ILLNESS  Patient was apparently asymptomatic 2 yrs back  Then one day he went for general checkup where some blood tests were done , in which they found his creatitine level is increased and is on medication since then .  20 days back he developed swelling in both lower legs which are pitting , insidious in onset and gradually progressive and developed till knee  He also has SOB since 20 days and pain in only right leg  PAST ILLNESS  K/

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.” A 75 yr old female resident of Miryalaguda came to the opd witb the chief complaint of decreased urination and pedal edema  since 4 days  HISTORY OF PRESENT ILLNESS Pt was apparently symptomatic 4 days back then she developed severe itching due to mosquito bite following which she scratched that resulted in bleeding and she used hot water to wash the area then she had a feeling of something crawling on the leg . She has pedal edema since then  She has decreased urine o

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.” A 64 yr old male who is a resident of nalgonda farmer by occupation came to the opd with the chief complaint of NO URINATION SINCE 3 days .  HISTORY OF PRESENTING  ILLNESS Patient was apparently asymptomatic 4 years back  Later He developed  PAIN ABDOMEN  and TIGHTNESS  and came to hospital for which he was diagnosed as having RENAL CALICULI and underwent Percutaneous nephrostomy  in our hospital and later discharged . Later he developed GENERALISED WEAKNESS and DIZZI