NAYINI SHIVANI Roll No-104

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 17/3/22 A 50years old male came to the opd with chief complaints of involuntary movements of both the upper and lower limbs since 2 days. History of presenting illness: Patient was apparently asymptomatic 2days (afternoon)back then he developed sudden involuntary movements while doing work in the fields and it continued for 4-5mins then they took him to local hospital there they didn’t admitted him so they went another hospital in the evening and he got admitted there and treated conservatively. Yesterday morning again he had a sudden involuntary movements for 4mins so they referred to our hospital. D

 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 A 36 years old man who is a biochemistry professor by occupation came to the opd with chief complaints of pain over the epigastric region since 4days and vomitings since 2days. History of presenting illness : Patient was apparently asymptomatic 7years back then he developed giddiness and fall so he went to local hospital there he was diagnosed as diabetic, from then he was on OHA(metformin) by taking OHA he was fine and his FBS,PLBS used to be control few years later he shifted to Glimy M1 and from 2-3 months ago he was on Glimy M2. 3years ago patient was on binge alcohol and had pain abdomen he went

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   55 years old female tea seller by occupation came to the opd with chief complaints of incomplete void of urine and increase frequency of urine since 10years. History of presenting illness: Patient was apparently asymptomatic 10years back then she started having incomplete void of urine with increase frequency. H/o burning micturation since 3years,3-4episodes/month releived in on taking medication and plenty of water. She wakes up 8-9 times in night times to pass urine.   Past history: No h/o Hypertension ,Diabetes Tuberculosis,epilepsy and Asthma. Family History:   Mother is diabetic. Personal histo

 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 A 30years old male driver by occupation came to the opd with chief complaints of fever since 5 days and pain abdomen since 1day. History of presenting illness: Patient was apparently asymptomatic 5days back then he developed high grade fever,intermittentand associated with chills and rigor,relived temporarily on taking medication. Dragging type of pain in right iliac right lumbar and right hypochondriac regions,non radiating. No h/o vomiting,loose stools,burning micturation,cough and sob. Past history: No h/o hypertension,diabetes,epilepsy,tuberculosis,asthma. Family history: Not significant  Persona

  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  A 13 years old male came to the opd with chief complaints of Fever since 2days. History of presenting illness: Patient was apparently asymptomatic two days back then he developed high grade fever with chills and rigor associated with headache 2days back, relieved temporarily on taking medication and not associated with vomitings,diarrhoea,abdominal pain and burning micturation.(2days back). Today(12/3/22) morning he developed  abdominal pain and burning micturation. 5 months back he has a h/o SOB and decreased blood pressure for which he was admitted to our hospital for 5 days.  Past history: No h/

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  10/3/22 A 29year old female came to the opd with chief complaints of pain in the right hypochondriac region since 6 months. History of presenting illness: She was apparently asymptomatic 6months back then she developed pain in the right hypochondrium which was sudden in onset with high intensity and it is radiating to back(at back it becomes stagnant) aggravated on taking spicy and heavy food and relieved temporarily on taking medication. She also has the h/o of Abdominal discomfort by eating spicy and heavy food,it relieves after inducing vomiting by herself. She has a h/o weakness associated with dizziness du

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 . 50 year old male Farmer by occupation came with chief complaints of Fever since 11days  Lethargy since 5 days Blood in saliva since 4 days and  SOB since 3 days. History of presenting illness: Patient was apparently alright 11days back then he had low grade fever , intermittent , relieved on taking medication . Not associated with chills and rigors and doing his routine works , from 5 days as patient was lethargic and taken to local hospital found out to be Dengue NS 1 reactive and  platelet count   44,000———>22,000—(SDP transfusion)—>33,000 From 4 days patient notices blood in saliva and while during c