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 67 year old male patient came to OPD with chief complaints of shortness of breath and bilateral pedal edema since 3 days,paroxysmal nocturnal dyspnea, orthopnea. HISTORY OF PRESENT ILLNESS: Patient was apparently asymptomatic 20 years  back and then  he noticed severe cough with sputum then he went to the hospital and diagnosed as  TB use ATT course for 9 months and relieved. Patient has shortness of breath which is of grade 2-3. Pedal edema is of pitti

  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 36 year old male patient came to OPD with chief complaints of pain in the abdomen since 45 days. HISTORY OF PRESENT ILLNESS: Patient was apparently asymptomatic 45 days  back and then  he noticed pain in the abdomen that is in the epigastric region. It is associated with nausea and loss of appetite. No history of vomitings. No history of constipation.  No history of jaundice. PAST HISTORY: No history of diabetes,  hypertension, CAD, asthma, TB, epileps