G.Sandhya Rani

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 inputsThis e-log book also reflects my patient centered online learning portfolio and your valuable inputs on comment box is welcome Chief complaints : A 60 years old male Patient complaints of pedal edema since 2 years and shortness of breath since 2 months History of present illness: Patient was apparently asymptomatic 2 years back the he noticed  pedal edema,shortness of breath since 2 months No H/o fever,cold,cough History of past illness: History of hypertension since 1 year Diabetes since 3 months Personal History: Diet - Mixed Appetite - normal Sleep - Adequate  Micturition  - Normal Bowel and bladder movement

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. This E log book also reflects my patient-centered online learning portfolio and your valuable inputs on the comment box. CHIEF COMPLAINT: A 45 yr old female patient  came to the causality with a complaint of loss of appetite , burning micturation  and inadequate  sleep since 2months HISTORY OF PRESENT ILLNESS:   A 45 yr old female patient who agricultural  labour  by occupation  was apparently asymptomatic since two months then she noticed loss of appetite burning micturation and inadequate sleep  Firstly she visited near by local hospital   HISTORY OF PAST ILLNESS: 4yrs back she had undergone( right