Manisha Varma

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 patient's clinical problems with collective current best evidence based inputs A 67 yr old male patient presented to the opd with the chief complaints of shortness of breath since 2-3 days, bilateral pedal edema since 3 days, orthopnea,PND History of present illness: patient was apparently normal 20 yrs Back then he developed severe cough with sputum and also shortness of breath.then he was diagnosed with TB.he used ATT course for 9 months and relieved. Now patient again developed shortness of breath of grade 2-3, pedal edema of pitting type. Past history: known case of TB. Not a known case of diabetes, hypertension, asthama , epilepsy. Personal history: patient follows a mixed

 This is an online elog book to discuss our patient de-identified health data shared after taking his/her /guardians signed informed consent.Here we discuss our individual patients 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 evident based inputs. Chief complaint:  A 45 yr old female patient, came to the casualty with the chief complaint of fever , shortness of breath, cough and body pains, pain in the abdomen since 5 days. History of present illness:  The patient was apparently asymptomatic before 5  days she then developed low grade fever associated chills and rigors, dry cough. No  vomitings, no loose stools , no burning micturation. She developed SOB grade 3. Past history:  No relevant past history.  Patient is not a known case of diabetes/hypertension/asthama/epilepsy. Family history: No relevant family history. Personal history: Diet: mixed Appetite: inadequat

 This is an online elog book to discuss our patient de-identified health data shared after taking his/her /guardians signed informed consent.Here we discuss our individual patients 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 evident based input. A 55 year old male pt, labour by occupation,    came to the casualty with clo SOB , generalized body swelling, and decreased urine output. History of present illness: patient was apparently asymptomatic since last 5 days. He the developed SOB, swelling , body pains, decreased urine output  Past history:  patient is diabetic since 10yrs and uses glimiperide 2mg and he has hypertension since 2yrs and uses telmisartan 40mg Patient has a surgical history of left leg amputation and was treated by below knee prosthesis . Family history : patients father was diabetic . Personal history:  Diet: mixed  Appetite : decreased Sleep : a

  This is an online elog book to discuss our patient de-identified health data shared after taking his/her /guardians signed informed consent.Here we discuss our individual patients 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 input. Case: An 50 year old male patient , granite cutter  by  occupation came to the casualty with the Chief complaint:   shortness of breath, generalized body swelling, chest pain, body pain, cough since one week. History of present illness: Patient was apparently asymptomatic 3 months  back then he developed shortness of breath, swelling, chest pain, body pain and burning micturation. He was admitted in a nearby hospital and was diagnosed with polycystic kidney disease and was under medication. Since 1 week he again developed all the symptoms and was admitted here. Personal history: Diet: mixed Appetite: Inadequate Sleep: ade

 This is an online elog book to discuss our patient de-identified health data shared after taking his/her /guardians signed informed consent.Here we discuss our individual patients 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 input. Case: An 42 year old male patient , GHMC worker by occupation was brought to the casualty with the Chief complaint:    acholol consumption since 10yrs and tobacco chewing since 10yrs History of present illness: Patient was apparently asymptomatic 10yrs back then he started consuming alcohol. Intially he would consume once a week later on it increased to 3 times a week. Patient lost his wife 6 yrs ago from then he started consuming alchol everydy. Patient experience tremors, fearfullness,sleep disturbances, excessive sweating if stops consuming alcohol. Personal history: Diet: mixed Appetite: normal  Sleep: adequate Bowel b

This is an online elog book to discuss our patient de-identified health data shared after taking his/her /guardians signed informed consent.Here we discuss our individual patients problems through series of inputs from available global online community of experts with an aim to solve those patients clinical problems with coll ective current best evident based input. Case: 18 yr old female,labourer by occupation ,was brought to the casualty with chief complaint of fever since 4 days, vomitings,and loose motions since 1day and shortness of breath since morning. History of present illness: Patient was asymptomatic 4 days back and then she developed fever, headache and shortness of breath,and loose motions. Past history: no relavant past history, no known case of diabetes mellitus, hypertension. Family history: no relavant family history. Personal history: Diet : mixed Appetite :normal Sleep: adequate Bowel movement: irregular General examination:  On examination the patient was conscious,