44. Krithika Deshpande

Feb 08,2022 . 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 60 year old male driver by occupation came to the OPD with chief complaints of  1) bilateral pedal edema since 15days  2) decreased urine output since 3days  3) sob since 5 days  4) fever since 5 days. HISTORY OF PRESENT ILLNESS:- Patient was apparently asymptomatic 15 days back he then developed pedal edema extending upto ankle which is of pitting type , shortness of breath since 5 days & fever since 5 days which is continuous and associated with vomitings( f

  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 CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE BASED INPUT. Feb 08,2022 A 55 year old male patient farmer by occupation presented to the casualty with chief complaints of altered sensorium since 1day and history of fever since 4 days. HISTORY OF PRESENT ILLNESS :  Patient was apparently asymptomatic 4 days ago,then he developed high grade fever with no diurnal radiation and is associated with chills. No h/o cough and enteric symptoms. Attenders present there suggest that there was h/o stoppage of OHA for 3 days and there was decreased intake of food since he has fever. H/o altered sensorium since 1 day  Irrelevant talk and not recognising attenders. Able to move all 4