SHUVAM KUMAR ROLL NO 205

 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 comments. Chief complaints: -Fever since 3 months -Burning micturition since 3 months History of presenting illness : Patient was apparently asymptomatic 3 months back Then she developed low grade continuous , Fever which was temporarily relieved on medication for 1 month associated with burning micturition for which she came to our hospital and was admitted for a week and she got alright and was discharged.after discharged she did not develop any fever for 20 days and then she got an episode

 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 comments. Chief complaints: Pain in upper abdomen since 3 months Difficulty in taking food since 1 month. History of presenting illness: Patient was apparently asymptomatic 3 months back then he complained of abdominal pain on right lumbar region which was insidious in onset  gradually progressive, squeezing type of pain , continuous not related to food intake,not associated with regurgitation , vomiting, Malena,hematemesis,nausea. Pain aggravated on cough, inspiration and relieved on lying

 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 . 6/12 /2022 A 60 year old male electrician by occupation, resident of nalgonda district , came to casualty at 3.00 pm on 5th December. CHIEF COMPLAINTS:- Tingling and numbness of both upper and lower limbs since 5 year Headache and vertigo from 1year. Generalized weakness of lower limbs since 5 days. HISTORY OF PRESENTING ILLNESS Patient was apparently asymptomatic 10 years back then he got electric shock during his work on the right leg above knee. Then he went to local RMP and w