Mekala .Niharika

​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.  67 year old male came with a cheif complaint of:  Pedal edema since 6 months Low back pain since 2 months. HISTORY OF PRESENT ILLNESS patient was apparently asymptomatic 2 years back then he developed shortness of breath on exertion associated with dry cough for which he wrnt to hospital, given medication.He used to take medication ( (inhalers).He had bilateraledemasince 6 months which was insidious in onset and gradually progressive. It is pitting time.patient also complanied of shortness of breath which was of NYHA grade 2 2months ago which was progressed to grade 3 associated with PND. Patient co

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. CASE PRESENTATION: A 50 year old female came to casualty with c/o Fever since 7 days  HOPI: Patient was apparently asymptomatic 7 days back then she developed fever which is of high grade,intermittent, not associated with chills and increased during night.2 days later She went to a local hospital where she was diagnosed with typhoid.she was on medication. Her platelets count reduced and fever is not subsided.  She also complained of mild head ache since 4 days ,relieved on medication  No h/o nausea, vomiting  No h/o loose stools/constipation  No h/o pain abdomen No h/o Burning micturition  PAST HIS

This is 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 patients clinical problems with collective current best evidence based inputs A 32 year old male came to the opd with complaints of  -Alcohol consumption since 6 years (540ml whiskey) (Last consumption 180ml whiskey on 30/03/22) -tobacco consumption since 6 years(6 packs gutka /day &1 cigarette /week) ALCOHOL- Cravings+ Tobacco + -Due to peer pressure and family stressors Patient started consuming whiskey 90ml /day gradually increased it ti 540ml /day Withdrawals+ Patient experiences sleep disturbances,palpitations when not consuming alcohol Harmful use + Patient is aware of harmful effect of alcohol Loss of control Loss of interest in other pleasurable activities Patient is giving more import