26.Likitha Dadda

 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. A 35 yr old female patient was presented to OPD with chief complaint of shortness of breath and pedal edema past 20 days. History of present illness: Patient had fever 10 days back with no chills and subsided on medication Then she developed facial puffiness and pedal edema along with decreased urinary output past 20 days. C/o of cough with expectoration which is yellowish in color  History of past illness: Pt was apparently asymptomatic 2 months back then she developed chest pain for

 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. A 65 yr old male patient was presented to OPD with no urine passage / anuria past 1 week. History of past illness: He had renal calculi past 20 yrs and shortness of breath since 5 days PATIENT WAS APPARENTLY ASYMPTOMATIC 15 YEARS BACK , PATIENT SUDDENLY FELL FROM TODDY TREE WHILE CLIMBING HAD HISTORY OF FRACTURE OF FEMUR.  Patient has got restricted neck and knee movements since then. Past history:  H/o hypertension is seen past 10yrs and is put on medication since. No h/0 of dm astha