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. 14 year old boy came with c/o fever , body pains , headache , pain abdomen  PT was apparently asymptomatic 11 days back then he developed which was insidious in onset , high grade associated with chills and rigors , more during night  No c/o nausea , vomittings  C/o fever with headache ( diffuse type of pain ) C/o body pains ( diffuse type ) since 3 days  C/o pain abdomen since 3 days near umbilical region ( non radiating , not associated with vomittings )  No c/o malena

1) 55 year old male patient came with the complaints of  Chest pain since 3 days , Abdominal distension since 3 days a nd decreased urine output since 3days and not passed stools since 3days  https://sreejaboga.blogspot.com/2020/11/is-online-e-log-book-to-discuss-our.html?m=1 a) Where are the different anatomical locations of the patient's problems and what are the different etiologic possibilities for them? Please chart out the sequence of events timeline between the manifestations of each of these problems and current outcomes.  A) acute kidney injury secondary to pancreatitis B) tibial - diaphysial dysplasia C) Atherosclerotic vascular changes in right upper limb due to triglyceridemia  D) pancreas - acute severe pancreatitis secondary to call stones E) lungs - pleural effusion secondary to acute severe pancreatitis  Sequence of events  1 ) Patient has atherosclerotic vascular disease in right upper limb  2) PT has c/o constipation , shortness of breath , chest pain , abd disten