40 .G Akshara kruthi

40 Akshara kruthi , 5th sem This elog depicts the patient -centered approach to learning . This is an online E log book recorded to discuss and comprehend our patients de-identified health data shared , after taking his /her /guardians signed informed consent . This elog also reflects patients centered learning portfolio. Date of admission : 27/07/2022 CASE A 46 year old male patient, farmer by occupation, resident of nalgonda came with chief complaints of  1. Shortness of breath since 6years 2.Cough since 4years which is on and off 3. Pedal oedema and facial puffiness since 3years. 4. Abdominal distension since 3years.  5. Hard stools since 10 days.  HISTORY OF PRESENT ILLNESS Patient was apparently asymptomatic 6years ago. Then he developed shortness of breath which was initially grade 1 and gradually progressed to grade 2 . Cough since 4 years (on and off) which is productive with yellow colored sputum. Then he developed abdominal distension , pedal oedema and since puffiness 3years

 Akshara kruthi 40  Hi,I am G.Akshara kruthi 5th sem medical student.This is an online elog book to discuss our patients de-identified health data shared after taking his/her/guardians signed informed consent.Here we discuss our individual patients 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 reflects my patient centered online learning portfolia  A 50 year old male , maths lecturer by occupation, resident of nalgonda came to OPD with chief complaints of  1. Abdominal pain since 4days. 2. Shortness of breath since 3days.  HISTORY OF PRESENT ILLNESS Patient was apparently asymptomatic 10years ago , then he developed gastric problem whenever he takes alcohol for which he is using omeprazole and rabiprazole . He vomits wantedly the next day morning he took alcohol every time. 4days back he developed upper abdominal pain which was g

  Akshara kruthi 40  Hi,I am G.Akshara kruthi 5th sem medical student.This is an online elog book to discuss our patients de-identified health data shared after taking his/her/guardians signed informed consent.Here we discuss our individual patients 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 reflects my patient centered online learning portfolia  45 yrs old male patient came to the causality with the chief complaints of  * Seizures on 15th July night which is continuous till 16 th July 6 Am with few intervals  * Right shoulder dislocation  during the seziures  Present illness : Patient was apparently asymptomatic 25 yrs back .Then he started drinking alcohol of 90ml /day and from 10 yrs his alochol consumption is increased where he got sleep disturbances without alochol and he also had a habit of eating gutka since 25 yrs used

 Akshara kruthi 40  Hi,I am G.Akshara kruthi 5th sem medical student.This is an online elog book to discuss our patients de-identified health data shared after taking his/her/guardians signed informed consent.Here we discuss our individual patients 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 reflects my patient centered online learning portfolia  Case details : 37 years old male patient resident of nalgonda  Auto driver by occupation came to the causality  With chief complaints of    * Epigastric pain since 5 days    *Fever with chills since 2 days     *Reddish discoloration of urine since 2 days      History of present illness : Patient was asymptomatic 6 mnts back then he developed stomach pain and came to Kims narketpally which was revealed by medication  Then he developed pain in upper abdomen since 5  days which is interm