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. 45 year female ,home maker resident of Nereducherla ,suryapet came to casualty with  C/o - Low back ache since 2 months Short ness of breath since 2 months HISTORY OF PRESENT ILLNESS- Patient was apparently asymptomatic 2 months back then she developed low back ache. She was taken to local hospital and diagnosed as CKD  After a month ,she started having pain again  Then she was taken to hospital in miryalguda and they recommended for dialysis. At the same time  she developed shortness of breath

  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. 65 year female, resident of miryalguda ,home maker came to casualty with C/o-         >  Fever since 1 week HOPI- Patient was Apparently asymptomatic 1 week back . Then she developed high grade fever  ,which was sudden in onset & associated with chills. She also developed non productive cough. Sputum - Normal in colour  No foul smell No blood in sputum A day later ,she developed shortness of breath aggregates on walking.(grade 2 -3) Daily routine:-  Patient generally wakes up at 6am