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: A 70 year old female came with  c/o inability to speak since morning around 7:30 am No h/o weakness of upper limb and lower limb  No h/o deviation of mouth No h/o giddiness/syncopal attack No h/o fall/loss of consciousness/epilepsy History of present illness: Patient was apparently asymptomatic 1-2 hrs back then around at 7am patient son went to wake him up which was his usual time where he observed she was unable to speak but she w...

  CASE 1 https://swathibogari158.blogspot.com/2020/09/chronic-decompensated-liver-disease.html 1) Reason for this patients ascites  The most common cause of Ascites is        Cirrhosis of liver        risk factors in this patient :       1. Chronic alcoholism since 40 years       2. Truncal obesity leading to metabolic syndrome causing NAFLD leading to cirrhosis 2) 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 which is of pitting type is due to decrease in the albumin level trends due to course of the disease and long standing cirrhosis causing decrease in the production of proteins causing decrease in the oncotic pressure leading to accumulation of fluid. ulcerations are due his limited self practising manoeuvres done in inappropriate conditions such as  imprope...

  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 40 year old male farmer by occupation happily married 11 years ago presented to opd with C/O Decreased appetite,bilateral pedal edema,facial puffiness,yellowish discoloration of eyes since 15-20 days  Tingling sensation of both UL and LL, decreased sleep increased wakefulness +, fever+ every third day since 20 days Not a/w chills and rigors. HOPI: Pt was apparently asymptomatic 5 years back then he later (5months)developed bilateral pe...

  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 a...