Pravalika Chithanuri

  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: 69year old female  Came with c/o fever since 1 week  Not associated with chills and rigors H/o 1 episode of giddiness No h/o nausea, vomitings, loose stools, pain Abdomen, rashes, bleeding gums Pt was apparently asymptomatic one week back then she developed loss of appetite and fever for which she went to local RMP took some medications(no records available), and then they took the pt to **** hospital and she was put on inj piptaz and IV fl

  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: 20 year old female studied upto 8th class and happily married 2years ago Came with c/o yellowish discolouration of eyes since 1 year SOB on exertion since 1year Irregular menses since 1 year Pt was apparently asymptomatic 1year ago Then she developed yellowish discolouration of eyes 1year ago for which she used unknown medication(chetla mandu) and then she visited lb nagar kamineni and used medications, it subsided in 2months.At that time s