NIHARIKA PENUKONDA ROLLNO 122

  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-centred online learning portfolio and your valuable inputs on the comment box  52 year old female who is a farmer came to the casuality with complaints of shortness of breath 2days back, vomitings, pain abdomen 2days back.Dyspepsia since 2days. HISTORY OF PRESENT ILLNESS : Patient was apparently asymptomatic 2days back.Then she developed shortness of breath  ( grade 2 to grade 3 ) according to NYHA classification . She also had C/o vomitings ( 3 episodes food particle as content) , non bilious, non projectile.   Also C/o pain abdomen ( diffuse type) a...

"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 40 year old male resident of Nalgonda came with the complaints of Shortness of breath,facial swelling,pedal edema. Chief complaints: Bilateral lower limb swelling since 20 days. Generalized anasarca since 15days . Shortness of breath grade 3 and 4 since 10days. History of present illness:   The patient was apparently asymptomatic 4 months back .He used to go for work (farming) before 4 months .Suddenly he developed cough along with Shortness of breath ,for which he...