Pranati V (roll no. 129)

Long case HALL TICKET NO. 1601006144 This is an online E log book to discuss our patient's de-identified health data shared after taking their/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.  This E log book also reflects my patient-centered online learning portfolio and your valuable inputs on the comment box is welcome. CASE : A 55 year old male, a toddy climber from Miryalaguda came to the OPD with complaints of pain abdomen since 10 days and, fever since 7 days   HISTORY OF PRESENTING ILLNESS : Patient was apparently asymptomatic 10 days back and then developed •Severe, dragging type of pain abdominal pain in the right upper quadrant, sudden in onset, which was gradually progressive, and non radiating •Aggravated on standing and relieved on taking m

HALL TICKET- 1601006144 This is an online e-Logbook to discuss our patients' de-identified health data shared after taking their/guardian's signed informed consent. Here we discuss our individual patient 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 input. This e-Log also reflects my patient centre’s online learning portfolio and valuable inputs on the comment box is welcome. SHORT CASE A 55 years old man, a farmer from Nalgonda came to the OPD with chief complaints of-  •Swelling in both the legs •Decreased urine output HISTORY OF PRESENTING ILLNESS-  Patient was apparently asymptomatic 10 days back, when he noticed bilateral pedal edema, that developed gradually along with decreased urine output. •No H/O fever, hematuria, or burning micturition,  •No H/O of cough, expectoration, chest pain, hemoptysis, reccurent respiratory tract infections