OMKAR VARSHITH ROLL NO 160

  17 YEAR OLD GIRL WITH DIABETIC KETOACIDOSIS 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 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 comment box is welcome.  A 17 year old girl , studying 10th class, hailing from Janapahad near Miryalaguda , presented to the OPD with  chief complaints  of fever and vomitings since yesterday ( 05/11/22 ) morning . History of presenting illness :  The patient was apparently asymptomatic 7 years back . In 2015 ,  she got fever with 4-5 episodes of vomitings for which was taken to Nilofer where she was admitted for 1 month , they performed blood sugar tests an

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 . CASE :- 45 year old male complaints of abdominal distension and b/l pedal edema (pitting type) , shortness of breath and scrotal swelling. CHIEF COMPLAINTS :- Patient complaints of  •Abdominal distension  •B/l pedal edema  •Shortness of breath  •scrotal swelling    Since 25 days  HISTORY OF PRESENTING ILLNESS :- Patient was apparently asymptomatic 6 years ago, then he had swellings over chest for which he went to hospital and was diagnosed as diabetic and was on medication since 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 patient's clinical problems with collective current best evidence based inputs". This E log book also reflects my patient-centred online learning portfolio and your valuable comments on comment box is welcome.  CASE : 18Y male came with complaints of involuntary movements of both upper and lower limbs CHIEF COMPLAINTS: Involuntary movements of both upper and lower limbs  HISTORY OF PRESENT ILLNESS: Patient was apparently asymptomatic 1 day ago , then he developed involuntary movements ,in both upper and lower limbs, which was sudden in onset , associated with shivering,and fever. He complained of nausea and pain after dinner in the epigastrium which was radiating towards righ

 Patient was apparently asymptomatic 2weeks back then she developed right leg swelling associated with wound on  the right ankle and right leg anterior region. Swelling extended from the right foot to the mid part of shin.debridement of infection was done four days back.she had h/o of atrial fibrillation before surgery which is controlled. After surgery due to stress  induced  factor atrial fibrillation which-eventually  lead to left heart failure and then right heart failure she developed shortness of breath and pedal edema. No h/o of fever, vomiting Past history : Not known Case of HTN,DM, asthma, qq1 Personal h/o Diet: mixed Bowel and bladder! Regular. Family ho:- No significant family history. GENERAL EXAMINATION:   pt is cc and non cooperative, moderately built and moderately nourished, well oriented with place and time, No pallor, no icterus, no cyanosis, no clubbing, no lymphadenopathy. Vitals: Pulse rate- 123 Bp - 110/80 Rr- 22 Temp- 98.4F Oxygen saturation 96% Systemic examina

 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. Chief complaints :  Bilateral pedal edema on and off since 1 month. Shortness of breath since 2 days. Fever since 4 days. History of present illness :  Patient was apparently asymptomatic 1 month back (G2P1L1 at 30 weeks of gestation) when she developed generalized edema for which she visited local hospital and was diagnosed with gestational hypertension and started on Tab.Labet 100 mg. After 1 week she developed 2 episodes of seizures (tongue bite - present, LOC - present) for whi