Rishikadabbara

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: 81yr old male Patient came to the casuality at 4.30 pm with chief complaints of High grade fever , with one episode of reddish brown color Urine withhyperpigmentation of skin of both lower limbs High grade fever associated with chills and rigors ,burning micturition since 1 month on and off Urine is reddish brown with diurnal variation ,foul smelling ,hesitancy of urine present . Normal stream , Normal volume and frequency. Tingling sensation...

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 32 year old woman from WB came with c/o  of weakness , decreased appetite ,distension of abdomen and weight loss since 9 months  Patient was apparently asymptomatic 10years ago In 2010 she got married  which was non consanguineous and  conceived spontaneously with in 1 year of marriage but when she was 7 month pregnant she slipped and fell down and had bleeding per vagueness ,when taken to near by hospital doctor declared intra...

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: 78M with electric shock and fractures 78 year old pt presented with complaints of  inability to mover upper limb and lower limb since 4 days ,altered sensorium since two days, slurred speech since two days,   Patient was apparently asymptomatic 3 days back, then he had an electric shock injury due to contact with damaged switch following which he fell down on left side.  Attenders denied the history of head injury, loss of consciousne...

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: Patient came to hospital with chief complaints of  giddiness ,heaviness in the chest increasd on bending forward,lfting weights,SOB2/3,palpitations on activity,decreased stream of urine flow with decreasd urine output C/o dry cough since 3 days . no orthopnea,PND,chest pain no h/0 pedal edema,facial puffiness. patient  was apparently asymptomatic 6 years back that is in 2014 after which he met with an accident .pt explains the incident say...