HARIKRISHNA ROLL NO 55

  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 A SERIES OF INPUTS FROM THE AVAILABLE GLOBAL ONLINE COMMUNITY OF EXPERTS WITH AN AIM TO SOLVE THOSE CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE-BASED INPUT CHIEF COMPLAINTS-  Pain Abdomen and vomiting since 3 days HISTORY OF PRESENT ILLNESS:  He was apparently asymptomatic two years back then he had developed yellow discoloration of the sclera for which he visited a nearby hospital and got treated conservatively (MEDICATION: UDILIV for how many days? INDICATION?) One year back, he again had Sclera, for which the patient took UDILIV and the discoloration decreased. Ten days back, the Patient had an injury to the right-hand ring finger (laceration of size 1*1cm over the dorsum), due to an accidental hit while working in the carpenter shop. later the injury, th

 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 CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE BASED INPUT A 52-year-old man presented to the OPD with Chief Complaints of abdominal distension from the past 7 days. HISTORY OF PRESENT ILLNESS: Patient was apparently asymptomatic 2 years back, then he had a non healing injury to the right foot which raised a suspicion of Diabetes mellitus. Then they went to neatest medical care and diagnosed with Diabetes mellitus type 2 and was started on Tab. GLIMI M2 OD.  2 years back he complained of Tingling in the upper limbs up to the palms, in the lower limbs up to the knee.   15 Days back patient presented to the casualty with Abdominal Distension NOT associated with pain, No

 52 Yr old female housewife by occupation presented to casualty for maintenance haemodialysis.  Chief complaints:: Shortness of breath since 1 week Pedal oedema since 1 week Decreased urine output since 1 week. History of presenting illness:: Pt. was asymptomatic 1 week back after which she developed shortness of breath and pedal oedema. Shortness of breath was aggravated by work. No history of fever and vomiting.  Past history:  She is a known case of hypertension.  PERSONAL HISTORY:  Diet- mixed. Appetite- reduced. Sleep- adequate.  Bowel and bladder- regular. No addictions.  FAMILY HISTORY:  No significant family history.  GENERAL EXAMINATION::  PALLOR- present.  Pale conjunctiva.  ICTERUS: Absent.  Cyanosis: absent  Lymphadenopathy: absent   Oedema- absent.  Vitals :-  Temperature- Afebrile Pulse rate- 72 beats per minute. Respiratory rate- 20 breaths per minute.  B.P - 140/70 mm hg Spo2 - 99% at room air Systemic examination:  CVS:- S1 and S2 are heard,NO MURMUR RS:- B

 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 CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE BASED INPUT Chief complaints:  65 Yr old male came to opd with Chief complaints of itching followed by blebs formation and spontaneous rupture, ulcers present on both the hands HISTORY OF PRESENTING ILLNESS:  Pt. Was apparently asymptomatic 2 months back then he developed itching all over the body since 2 months. History of painful ulcers over the rt side of Abdomen which healed on taking medication. History of shortness of breath since 1 month. History of loss of appetite since, reduced urine output and pedal oedema since 10 days.  No history of fever Past history: No  history of HTN and DM ,Tb, asthma, thyroid abnormalit