Alava Ramya Tulasi Tejasri 11

  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 60 year old male patient came to medicine opd with chief complaints of fever, pedal edema , since 5days Patient was apparently asymptomatic 5 days ago then he developed fever in the morning at 4 O clock which is sudden in onset ,continuous in nature not associated with chills and rigors.H/o vomiting one episode ,watery in consistency bilious with food particles , associated with nausea and watery diarrhea large volume ,5-6 times a day for 2 days.h/o shortness of breath s...

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...