Swetha

    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 67 old male patient came to the OPD with the chief complaint of shortness of breath and bilateral pedal edema ,pitting type since 3 days. History of present illness: Patient was apparently asymptomatic since 20 yrs back then he developed severe cough with sputum went to hospital and diagnosed with TB use ATT course for 9 months and relieved. Patient developed shortness of breath of grade 2-3, grade 2 pedal edema of pitting type. History of past illness: know case of TB. Not

 This is online elog book to discuss for patients deidentified health data shared after taking her/guardians signed informed consent Here we discuss our individual patient 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 18 years old female patient presented to the opd with chief complaint of fever since 3months, joint pains since 2 months, vomitings 2months back for 1 week, headache 2months back.  History of present illness Patient was apparently asymptomatic 3months back then she developed fever, after the fever subsided she developed pain at the interphalangeal joints of left hand. Then later to the other joints of hands and legs which relieved on medication and relapse after stopping the medication She had history of fever along with multiple joint pains. (small joints of hand ----> elbow---->shoulder joint). Patient had a h/O migrator