NagaJyothi

  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. Here is a case i have seen: A 75 year old male farmer by occupation was brought to the opd by his wife and son-in-law with   chief complaints of  Polyuria since 5 years Dyspnea on exertion since 2 years  Abdominal distension since 2 years  Fever associated with body pains since 3 days He used to work as a farmer 3 years back in a small village near Nalgonda.  History of present illness: patient was apparently alright 5 years back ,then he ...

  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. Here is a case i have seen: 65 year old man presented with the complaints of  Reduced urine output since 1 year Dyspnea since 4 months   Fever since 1 month Cough since 1 month  Numbness in bilateral lower limbs since 20 days Bilateral lower limb swelling since 20 days  He has been working as a farmer at Borrayapalem at Nalgonda district. He has 4 children, 3 daughters and one son, the attendant who got the patient to the hospital. He has been a...