Kanduri Thanvi Sree

62/M with CKD THIS IS AN ONLINE E LOGBOOK TO DISCUSS OUR PATIENT'S DE-IDENTIFIED HEALTH DATA SHARED AFTER TAKING HIS/HER/GUARDIAN'S SIGNED INFORMED CONSENT. HERE WE DICUSS OUR INDIVIDUAL PATIENTS PROBLEMS THROUGH A SERIES OF INPUTS FROM THE AVAILABLE GLOBAL ONLINE COMMUNITY OF EXPERTS WITH AN AIM TO SLOVE THOSE CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE-BASED INPUT Case: 62 yr male with chief complaints -Loss of appetite from 1 month -SOB since 20 days -Cough since 15 days HOPI: -C/o shortness of breath since 20 days grade 4 ,no pnd and no orthopnea -Cough since 15 days ,non productive ,no haemoptysis Past history: K/C/O HTN from 5 years not on regular medication,DM from 5 yrs not on regular medication General Examination: Patient is conscious, coherent, co-operative Well oriented to time, place and person Moderately built and nourished No pallor, icterus, cyanosis , clubbing, pedal oedema, lymphadenopathy Vitals: PR:88bpm BP:160/90mm Hg RR:26 cpm Temp:98.7F System...

A 55yr old female complains of fever,decreased appetite since 1 month, Breathlessness since 1 week,vomitings and loose stools since 3 days. THIS IS AN ONLINE E LOGBOOK TO DISCUSS OUR PATIENT'S DE-IDENTIFIED HEALTH DATA SHARED AFTER TAKING HIS/HER/GUARDIAN'S SIGNED INFORMED CONSENT. HERE WE DICUSS OUR INDIVIDUAL PATIENTS PROBLEMS THROUGH A SERIES OF INPUTS FROM THE AVAILABLE GLOBAL ONLINE COMMUNITY OF EXPERTS WITH AN AIM TO SLOVE THOSE CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE-BASED INPUT CHIEF COMPLAINTS: Pt complains of fever,decreased appetite since 1 month, Breathlessness since 1 week,vomitings and loose stools since 3 days .  HOPI: Patient was apparently asymptomatic 3 months back. Then she had multiple swellings in front of the left ear, for which she developed fever which was lowgrade, intermittent, no evening rise of temp, ass with decreased appetite since 1 month. She then had vomitings which was non bilious and non projectile, containing food particles. S...

March 7th 2022 THIS IS AN ONLINE E LOGBOOK TO DISCUSS OUR PATIENT'S DE-IDENTIFIED HEALTH DATA SHARED AFTER TAKING HIS/HER/GUARDIAN'S SIGNED INFORMED CONSENT. HERE WE DICUSS OUR INDIVIDUAL PATIENTS PROBLEMS THROUGH A SERIES OF INPUTS FROM THE AVAILABLE GLOBAL ONLINE COMMUNITY OF EXPERTS WITH AN AIM TO SLOVE THOSE CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE-BASED INPUT Name: Mokshith Age: 4 years Sex: male CHEIF COMPLAINTS :                     Post burn contraction of left ring finger and middle finger at the age of 1½ year HISTORY OF PRESENT ILLNESS:                       It was apparently asymptomatic past 3 years and then slight burns towards the left ring finger and middle finger  No H/O fever, vomiting, burning micturation HISTORY OF PAST ILLNESS:                      He accidentally immersed his hand in hot ...

 February 28, 2022 FEBRUARY 28, 2022 THIS IS AN ONLINE E LOGBOOK TO DISCUSS OUR PATIENT'S DE-IDENTIFIED HEALTH DATA SHARED AFTER TAKING HIS/HER/GUARDIAN'S SIGNED INFORMED CONSENT. HERE WE DICUSS OUR INDIVIDUAL PATIENTS PROBLEMS THROUGH A SERIES OF INPUTS FROM THE AVAILABLE GLOBAL ONLINE COMMUNITY OF EXPERTS WITH AN AIM TO SLOVE THOSE CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE-BASED INPUT CHEIF COMPLAINTS:- C/O shortness of breath since 10-15 days C/o pedal edema since 20 days C/o decreased urine output since 10 days HISTORY OF ILLNESS:- History of present illness:- Patient was apparently asymptomatic 20 days ago then he developed bilateral swelling of fat which was progressive along with shortness of breath 15 days back which was sudden in onset no aggravating factors relevied on medication and reduced urine output since 10 days. History of past illness:- K/c/o hypertension  K/c/o diabetes melitus Exact duration is not known  PERSONAL HISTORY:- He is an farme...