74 S Nithesh

  "This is online E log book to discuss our patients de- identified health data shared after taking his or her guardian's signed informed consent hear we discuss our individual patients problems through a series of inputs from available global online community of experts with an aim to solve those patients clinical problems with collective current best evidence based inputs.This E log book also reflex my patient centered online learning portfolio and your valuable inputs on comment box is welcome." CHIEF COMPLAINTS: A 43 yr old female patient came to the OPD with a chief complaint of  lower backache since 2 days , pain abdomen and vomiting since 1 day  HISTORY OF PRESENT ILLNESS: Patient was apparantly asymptomatic 6 yrs back , then she developed anasarca went to the local hospital There she was diagnosed with hypothyroidism (started on tab.Thyronorm 50 microgram) &  also DM  ( started on injection MIXTARD ) and  also got diagnosed for renal failure & was on tab.T

  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" Date of admission : 7/02/2022 CHIEF COMPLAINTS: A 27 year old male patient electrian by occupation presented to OPD with chief complaints of pain in stomach and Vomtings since 3 months HISTORY OF PRESENT ILLNESS: patient was apparently a symptomatic 3 months back, then he had a trauma where his relatives has beaten him with stick at the left hypochondrium region and then he developed abdominal pain associated with vomiting then the pain subsided on taking medications  After a few d