Manisha Varma

 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,