Medicine log book by Pujitha Aparna

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. A 55 year old male farmer by occupation came to casualty with loose stools since 1 week. HISTORY OF PRESENT ILLNESS: Patient was apparently asymptomatic 1 week back . Then he c/o loose stools since 1 week- 6 to 8 episodes/day ,small volume,watery in consistency. Pt had h/o one day fever(low grade, intermittent in onset),which subsided after taking medication. Pt also c/o pain abdomen on consuming food which is colicky type, intermittent,not radiating later on from past 4 days patient experiencing frank blood while passing stools(1- 2 episodes/ day)along with watery stools. H/o weight loss present H/o outside food consum

 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. A 45 year old male pt c/o decreased urine output, swelling in the legs since 3 years,SOB since 5 days. HISTORY OF PRESENT ILLNESS: Pt.was apparently asymptomatic 3 years back. He went to local doctor complaining of weight gain and generalizededema, pitting type.He is on dialysis and medication since 3 years . Suddenly he developed SOB since 5 days which aggrevates on lying down Position. PAST HISTORY: He is a known case of hypertension since 2 years. No H/o asthma, diabetes mellitus,tuberculosis,surgeries. PERSONAL HISTORY: Diet - vegetarian  Normal appetite  Bowel and bladder movements-Normal Addic