Viharika Vupputuri

  A 40year old male security guard by occupation  from narketpally was brought to casualty by his wife. CHEIF COMPLAINTS:- Cold since 3days Fever since morning Loose stools since morning Pain abdomen since morning  HISTORY OF PRESENT ILLNESS - Patient was apparently asymptomatic 3days ago then he developed cold then he developed  high grade fever since morning which is associated with chills and rigors, no aggravating and relieving factors. -c/o loose stools (10-12episodes) since morning. -c/o nausea and pain abdomen (umbilical region), diffuse, pricking type of pain. -No other c/o sob,orthopnea, pnd, chestpain, palpatations. -No c/o giddiness and lightheadness PAST HISTORY: No similar complaints in the past. No H/o Type II DM , Hypertension, TB, CAD , Epilepsy and Thyroid disorders. PERSONAL HISTORY:- Diet: Mixed Appetite: Normal Sleep: Adequate Bowel & bladder: Regular Patient was a occasionally alcoholic for about 15 years.Usually he consumes beer(1 bottle per one time). Last in

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 patients 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 22 yr old female who is a student came with complaints of generalized weakness and easy fatiguability since 2 months  HISTORY OF PRESENTING ILLNESS Pt was apparently asymptomatic 5  years back then she started to have desire to eat non edible material and went to the hospital and was diagnosed with Anemia (Hb 4gm/dl) and 2 units of PRBC transfusion was done .  Since 2 months she is complaining of easy fatiguability with generalized weakness. C/o SOB(grade ll-III) insidious in on