Alava Ramya Tulasi Tejasri 11

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. CASE PRESENTATION: A 55 year old male resident of narketpally mechanic by occupation, came with cheif complaints of abdominal tightness since 1 month, decreased appetite since 1 month HOPI :  Patient was apparently asymptomatic 1 month back, then he developed abdominal distension which is insidious in onset gradually progressive, fever since 10days high grade  associated with chills and rigors and increased on night time relieved by medication h/o decreased appetite No h/o pain abdomen ,vomiting, pedal edema ,dyspnea ,jaundice ,cough, hemoptysis,burning micturition PAST HISTORY: not a k/c/o dm ,htn,tb

This is 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 comments on comment box is welcome. A 30-year-old female, a farmer by occupation from Choutuppal, presents to the medicine OPD with complaints of generalized weakness for the past month. stomach pain for the past 4 days and non-projectile vomiting for the past 2 days. The weakness is progressive and has been affecting the patient's ability to perform daily activities. The patient reports that the stomach pain is diffuse, throbbing type ,intermittent, and associated with nausea aggravated during eating . The