General Medicine

  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 inputs .This e-log book also reflects my patient centered online learning portfolio and your valuable inputs on comment box is welcome. 65years old female housemaker by occupation presented to casualty with  CHEIF COMPLAINTS: Pain in right lower limb since 1 week. Fever since 1 week Shortness of breath since 1 week HISTORY OF PRESENT ILLNESS: Patient was apparently asymptomatic 1 week back, then she developed pain in right lower limb and right side of lower back- insidious in onset and gradually progressing. No history of trauma, injury  Fever- low grade, intermittent and associated with chills and rigor, relieved

This is an 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 inputs. This e-log book also reflects my patient centered online learning portfolio and your valuable inputs on comment box is welcome.  A 39 year old male came to opd with c/o shortness of breath grade 4 since 3 months. HISTORY OF PRESENTING ILLNESS:-  Patient was apparently asymptomatic 2 years back ,  then the patient had an episode of giddiness ?due to shock (from the death of his brother in law) ,for which he went to a local hospital and got diagnosed with hypertension. Since then the patient was started on increasing doses of Telma and later Telma -H, but the patient was not compliant to the medication. He u