Sravanthi18

"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 43 yr old female patient came to the casualty with a chief complaint of  lower backache since 2 days , pain abdomen and vomiting since 1 day  HISTORY OF PRESENT ILLNESS: Patient was apparantly asymptomatic 6 yrs back , then  she had anasarca went to the local hospital and diagnosed to have hypothyroidism (started on tab.Thyronorm 50 microgram) &  also DM  ( started on injection MIXTARD ) and  also got diagnosed for renal failure & was on tab.Torsemide 20 mg+ spironolact

 "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 35 year old male patient came to the casuality with chief complaint of upper  abdominal pain since one week. History of present illness :  Patient was apparently asymptomatic 20 days back then he noticed yellowish discoloration of eyes , abdominal pain since one week in the right hypochondrium and gastric region which is insidious in onset and gradually progressive ,  back pain since 4 days. No history of  nausea ,vomiting .  No history of loose stools , constipation.  Past hi