N.Adarsha

                   

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 patients clinical problems with collective current best evidence based inputsThis e-log book also reflects my patient centered online learning portfolio and your valuable inputs on comment box is welcome.  A 65 year old male ,resident of bhuvangiri  worker by occupation came to casualty with C/O-   ü   cough with blood since 3 months   ü   shortness of breath since 3 months   ü   chest pain since 6 months   ü   fever and chills   since 8 months   HISTORY OF PRESENT ILLNESS-            Patient was apparently asymptomatic 15 years ago,   then he developed giddiness on waking up early in the morning since 15 years ,bilateral upper and lower limb tingling sensati

  35 yr female with shortness of breath February 27, 2022 A 35 year old female from marapaka, came to casualty with c/o shortness of breath since 20 days.  History of present illness :- Pt was apparently asymptomatic, 2 months back then she developed breathlessness which is insiduous in onset since 20 days which aggrevated on performing physical work and was relieved on rest. Then she  visited a local hospital in miryalaguda, on evaluation she had low hemoglobin count and 2 blood transfusions were done and was given medicines for a week. After using these medicines for one week she developed bilateral pedal edema (pitting type). So she visited a hospital in guntur. As there are no aarogyasri services in guntur she came back to nalgonda regarding the same issue. She had one more blood transfusion in Nalgonda hospital. Later she developed breathlessness and visited our hospital. She was on medication and her breathlessness subsided after 3 days of admission. She had 5 blood transfusions

  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 patients clinical problems with collective current best evidence based inputsThis e-log book also reflects my patient centered online learning portfolio and your valuable inputs on comment box is welcome.  60 year old male Pt came with the complaints of  abdominal distension since 15 days swelling of both lower limbs, upperlimbs  facial puffiness since 4 days   difficulty in breathing since 2-3 days HOPI : Patient was apparently alright 15 days back when he developed abdominal distension which developed gradually a/w b/l pedal edema, pitting type (R>L) , upper limbs edema and facial puffiness . Since 2-3 days he has SOB which is of grade II/ III  No h/o fever, decreased urine outpu