Medicine log book by Pujitha Aparna

 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. CHIEF COMPLAINT: A 70 years old female, who is a housewife came to OPD with chief complaints of lower backache with generalised waekness(unable to sit) since 1 week and decreased urine output  since 3 days, bilateral pedal edema since 3 days. HISTORY OF PRESENT ILLNESS: Patient was apparently asymptomatic one week back then she developed  Bilateral loin pain radiating upto inner thigh since 2-3 years, which is increased from last one week associated with decreased urine output and bilateral pedal edema upto ankle. She is evaluated as hyponatremic (dyselectrolytemia) Na+ = 117 mEql/L K+ = 2.8 mEql/L

  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.  CHIEF COMPLAINT: A 21year old male patient came to casualty with chief complaints of fever since 5 days. HISTORY OF PRESENT ILLNESS: Patient was apparently asymptomatic 5days back then he developed fever which was  insidious in onset, intermittent and was of  low grade type also with chills and relieved on medication.  Pt had h/o 1episode of vomiting which was bilious, projectile. No h/o any burning micturition, throat pain, cold,cough. Shortness of breath present.  Fatigue-present.  PAST HISTORY: Not a k/c/o HTN,DM, CAD, asthma, TB, epilepsy. PERSONAL HISTORY: Patient has mixed diet with normal a