B.Anjali

 " This is an online E- log book to discuss our patient's de- identified health data shared informed 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 comment box is welcome." A 55 year old female patient came to OPD with chief complaints of shortness of breath  and swelling of the legs since 3 days and fever associated with chills since 1 day. HISTORY OF PRESENT ILLNESS: Patient was apparently asymptomatic 3 days back  and then she noticed shortness of breath  and pedal edema since 3 days. She also complaints of fever associated with chills from  1 day. Patient had history of diabetic nephropathy, 5 sessions of hemodialy

" This is an online E- log book to discuss our patient's de- identified health data shared informed 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 comment box is welcome." A 46 year old male patient came to OPD with chief complaints of shortness of breath since 5 days, increased sweating and weakness,  pedal edema since 1 month and facial puffiness since 10 days. HISTORY OF PRESENT ILLNESS: Patient was apparently asymptomatic 1 month back and then he noticed swelling of limb, facial puffiness since 10 days , shortness of breath since 5 days , profuse sweating and generalised weakness. No history of decreased urine outp

 5 October, 2021 " This is an online E- log book to discuss our patient's de- identified health data shared informed 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 comment box is welcome." A 65 year old male patient came to OPD with chief complaints of swelling of the legs and facial puffiness since 5 days. HISTORY OF PRESENT ILLNESS: Patient was apparently asymptomatic 5 days  back and then he noticed swelling of lower limb which is progressed to upper limb and also facial puffiness. No history of fever, vomitings, loose stools, decreased urine output and orthopnea. PAST HISTORY: Patient is a known case of  CVA (Cer