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 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