HASVITH

16th july 2023     This is online E log book to discuss out patients 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 patients 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 comments box is welcome . Note:  The cases have been shared after taking consent from the patient/guardian. All names and other identifiers have been removed to secure and respect the privacy of the patient and the family. Consent:   An informed consent has been taken from the patient in the presence of the family attenders and other witnesses as well and the document has been conserved securely for future references Patient came to casualty with C/O:1) Shortness of breath since afternoon         2)Fever s

July 17 , 2023                   CASE SHEET CHIEF COMPLAINTS: A 55 year  old male patient resident of  madhavagudem came to OPD with chief complaints  -SOB since 15 days -pedal edema since 1 week HOPI: Patient was apparently asymptomatic 15days back then he developed SOB (grade 1and2) that was  insidious in onset, gradually progressive  C/o pedal edema since 5 years and aggravated since  last 15 days it is a pitting type C/o decreased urine output since 1week No C/O chest pain, palpitations, orthopnea, PND. No H/O fever, burning micturition, loose stools, vomiting.  No C/O pain abdomen. PAST HISTORY: N/K/C/O HTN,DM epilepsy ,  TB ,thyroid disorder K/C/O CKD diagnosed 1month back PERSONAL HISTORY:  Diet - Mixed Appatite - Normal Sleep - Reduced Bowel and Bladder - Reduced urination, normal bowel. Allergy - None Addictions  - Alcohol - about 90ml per day since his teenage. - Bedi - 1 packet per day since his teenage. FAMILY HISTORY:   No significant family history GENERAL EXAMINATION : T

  15th July 2023 NOTE: 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 INTENDING TO SOLVE THOSE CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE-BASED INPUT. This is the case of a 42-year-old male, resident of Nalgonda, and Labourer by occupation. The following history was taken with the patient in person. The patient was explained about confidentiality and written consent was taken to create the following case report. This case report aims to record the patient's journey. CHIEF COMPLAINTS:-  -Came for regular dialysis as per schedule.  History of present illness:-  Pt was apparently asymptomatic 4 years back. Afterwards, he had consistent episodes of vomiting (frequecy the patient doesn't remember) and pitting type edema on both ankles.