Case history 3
5th September 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 45 year old female came to casualty in altered sensorium. Present History : Patient was apparently asymptomatic before 20 yrs then she was diagnosed with diabetic mellitus . In the month of April - patient went to the hospital with chief compliant of swelling of feet, shortness of breath since 1 month and increased micturition during night. In the month of May - patient had decreased appetite and easy fatiguability. In the month of July - patient had fev