Ch vaishnavi roll no28

  This is an online e log book to discuss our patient de-identified health data shared after taking his / her / guardians signed informed consent. Here we discuss our individual patients problems through series of inputs from available global online community of experts with an aim to solve those patients clinical problem with collective current best evident based input. 41 year old male who works as ward boy in the hospital came with the complaints of  -fever since 15 days -body pains and generalised weakness since 10 days  -loss of appetite since 1week  History of illness-  Patient was apparently asymptomatic 15 days back then developed  -fever since 15 days ,low grade , not associated with chills and rigors , fever more during nights  and relieved with medications. Patient went to local doctor and took medications and 2 injections.Body pains and generalised weakness since 10 days Loss of appetite present since 1week No history of vomitings ,loose stools,giddiness,cough ,cold,SOB, H/

  This is an online e log book to discuss our patient de-identified health data shared after taking his / her / guardians signed informed consent. Here we discuss our individual patients problems through series of inputs from available global online community of experts with an aim to solve those patients clinical problem with collective current best evident based input. This E blog also reflects my patient centered online learning portfolio and your valuable inputs on the comment box is welcome. A 60year old female came to the opd with the  CHIEF COMPLIANT: 1.cough with sputum since 10days 2.breathlessness since 10days HOPI: patient was apparently asymptomatic 10days back,then she has developed cough with expectoration which is insidious in onset, gradually progressive and associated with whitish colour, mucoid,non foul smelling,non blood stained  Aggravates on lying on left side and during night times   Breathless of grade 2 mmrc(i.e walk slower than other people of same age due to s