Case history 2
September 21, 2021 "This is online E log book to discuss our patients de- identified health data shared after taking his or her guardian's signed informed consent hear we discuss our individual patients problems through a 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 reflex my patient centered online learning portfolio and your valuable inputs on comment box is welcome." A 55 yr old male patient presented to OPD with chief complaints of fever associated with chills since 5 days , weakness of right upper limb & left lower limb since 4 days , B/ L knee pain, abdominal distension, facial puffiness, bilateral pedal edema, giddiness, loss of appetite ,loose stools . PRESENT HISTORY: Patient was apparently asymptomatic before one week then he got fever which is low grade intermittent & associated with chills. Pain in abd