Pranaya Gaddamedhi

  This is an online e log book to discuss our patient de-identified health data shared after taking his / her / guardians signed informed consent. Here we discuss our individual patients problems through series of inputs from available global online community of experts with an aim to solve those patients clinical problem with collective current best evident based input.       A 48 year old male farmer by occupation  came to causality with chief complaints of stomach pain since 10 days , intermittent fever from 10 days , he also had 1 episode of vomiting 10 days back History of present illness:  Daily routine:  He used to get up early in the morning by 6:00 am and drink tea . By 9:00 am he used to have his breakfast.  He was not having lunch from 5 to 6 months due to indigestion . By 6:00 to 7:00 pm  he takes his dinner . He was not going  for work since 5 years . Patient was apparently asymptomatic before 10 years back later seeing his son in depression in 10th grade he went to depres

 This is an online e log book to discuss our patient de-identified health data shared after taking his / her / guardians signed informed consent. Here we discuss our individual patients problems through series of inputs from available global online community of experts with an aim to solve those patients clinical problem with collective current best evident based input. A 85 year old male labourer by occupation came to causality with chief complaints of lower back pain and swellings of legs . History of present illness:  Patient was asymptomatic 3 months back then he had itching on hands and legs which was subsided . Later he developed pedal edema which was subsided on medication. 20 days back ,he developed ascites which was not subsided and patient also lost his appetite after he developed ascites .he visited and admitted in the hospital   Past history : Patient was daily labourer by work he used to get up in the morning and go to work by cycling . Patient had a cataract surgery for r

2nd Internal assessment:  1. Anatomical and etilogic localisation for hemiparesis  and further management?  2. Etiology pathogenesis Clinical features management complications of acute pancreatitis  3. Dengue fever clinical features and complications  4. Cushing syndrome  6. Cardiogenic pulmonary edema  7. Rheumatoid arthritis  8. Leptospirosis  9. Heart failure  10. Ascites  11. Pyrexia of unknown origin  12. Drug induced liver injury  13. Evaluation of low back ache  14. Renal artery stenosis  15. Acute kidney injury  17. Micro vascular and macro vascular complications of diabetes  19. Metabolic acidosis  20. Iron deficiency Anemia