Sai Raghuveer

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.  This E log book also reflects my patient-centered online learning portfolio and your valuable inputs on the comment box is welcome. C/o facial puffiness and pedal edema since one and half month  Loose stools on and off since 1 month Decreased urine output since 1 month PT was apparently asymptomatic 6 yrs ago when she developed rashes over Malar area and abdominal pain , and c/o joint pains ( RT elbow ) f/b knee , ankle . No h/o swelling redness  H/o on and off fever ( 2-3 months ) , intermittent ,high grade, for which she as admitted .  ANA + , dsDNA + , histone + , ribo p + , fundoscopy : anemic re

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.  This E log book also reflects my patient-centered online learning portfolio and your valuable inputs on the comment box is welcome. Here is a case i have seen:  30  year old female came with cheif complaints pedal edema and back ache since 1 year Pt was apparently asymptomatic 1 year back then she pedal edema which was pitting type and she also developed back ache   She also had episodes of shortness of breath ( non progressive )and facial puffiness  No h/o abdominal pain , abdominal distension , fever , decreased urine output , vomittings , chest pain , burning micturition , generalised weakness. M

 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.  This E log book also reflects my patient-centered online learning portfolio and your valuable inputs on the comment box is welcome. A 70 year old male came with  c/o fever since 4 days c/o pain abdomen since 4days  C/o pedal edema since 3 days C/o yellowish discoloration since 4days  C/o fever since 4 days associated with chills and rigor,low grade ,on and off,lasted for 1 day,relieved on medication,c/o 1 episode of shivering 4 days back for t minutes  No h/ o loc, uprolling of eyes ,frothing ,tongue bite  C/o pain abdomen since 4days associated with distension since 4days  No h/o vomintings loose

Case 1 : 57 year old man with jaundice, pedal edema and abdominal distension since three years and bleeding gums since three days Q1)What is the reason for this patient's ascites?  Ans. The cause for ascitis might be cirrhosis of liver as the patient is history alcohol intake since 40 years. Q2) Why did the patient develop bipedal lymphedema?What was the reason for the recurrent blebs and ulcerations and cellulitis in his lower limbs?     Ans. Bilateral pedal oedema may be due to the decrease in the levels of albumin because of improper functioning of liver (long standing cirrhosis).  The ulcerations are due to limited movements (improper dressings).  Q3) What was the reason for his asterixis and constructional apraxia and what was done by the treating team to address that?  Ans. Asterixis is a clinical sign that describes the inability to maintain sustained posture with subsequent brief, shock like, involuntary movements. This sign is not pathognomonic for any condition.  He was g

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.  This E log book also reflects my patient-centered online learning portfolio and your valuable inputs on the comment box is welcome. Here is a case i have seen:  A 43 year old male presented with C/o vomitings,decreased appetite, b/l loin pain since 12 days Pt was apparently asymptomatic 12 days back then he c/o decreased appetite since 12 days and vomitings immediately after intake of solids, liquids which was non bilious,non blood stained since 12 days and stopped 4d ys back C/o burning micturition since 12 days C/o decreased urine output since 10 days, c/o constipation since 10 days, fever since 4