GENERAL MEDICINE

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. This E log book also reflects my patient-centered online learning portfolio and your valuable inputs on the comment box. Chief Complaints 62 year old male, farmer by occupation resident of Nalgonda, came to hospital with chief Complaints of Pedal edema since 2 years SOB since 2 months History of Present Illness:   Patient was apparently asymptomatic 2 years ago, then he developed SOB, pitting edema.  SOB: grade 3, insidious onset gradually progressed and relieved on laying down, diurnal variation is seen, more at night time not associated with fever, cough and cold  History of Past illness:     Known

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. This E log book also reflects my patient-centered online learning portfolio and your valuable inputs on the comment box. Chief Complaints:         69year old female resident of Nalgonda, shopkeeper by occupation presented to casuality with chief Complaints: Hoarseness of voice since 10 days. cough since 1 week breathlessness since 3 days   fever (high grade) since 1 day, relieved on medication. History of Present Illness:          She was apparently asymptomatic 10 days ago, started complaining of noticeable change in her voice, hoarseness of voice which started gradually,not associated with foreign b