K.Sai likhitha 2018

  This is an online e-log book to discuss our patient's de-identified health data shared after taking his/her/guardian's 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.         A 70 year old female patient labourer by occupation came with chief complaints of  Decreased urine output since 1 month  ,  burning micturition since 1 month,  urgency of micturition since 1 month ,  mass per abdomen since 20 days  History of Present Illness : Patient was apparently asymptomatic 1 month back then she noticed decreased urine output , burning micturition , urgency and hesitency of micturition for which she visited local hospital where investigations are done . She denies history of fever , loin pain and hematuria . Past History: No history of diabetes mellitus, hypertension, asthma ,

  This is an online E log book to discuss our patient's          de-identified health data shared after taking his / her guardians signed informed consent. Here we discuss our individual patient's problems through a 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 reflects my patient centered online leading portfolio and your inputs on the comment box is welcomed." A 60 year old male patient driver by occupation came to  casuality with the chief complaints of;  Pedal oedema since 15 days.   SOB since 1week.         Vomting since 1week.                                       Fever since 1week. Decreased urine output since 1week .     He is a known case of chronic renal failure and he is on hemodialysis and he underwent 7 sessions of hemodialysis. HISTORY OF PRESENT ILLNESS; He was apparently asymptomatic 15 days back and he is completely