Ananya Pulikandala

 This is an online E logbook 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 a series of inputs from the available global online community of experts intending to solve those patients' clinical problems with collective current best evidence-based inputs. The patient is a daily wage labourer who lives in a rural setup. CHIEF COMPLAINTS ;  Patient was admitted to the ICU on 27/9/22 at 12noon with bilateral   Pain in the upper and lower limb joints and tenderness of skin over surrounding tissue areaarea with early morning stiffness.  HISTORY OF PRESENT ILLNESS; Patient was apparently asymptomatic 5months ago then she developed pain of both the knee joints  and swelling  followed by the ankle joints and nail bed. Pain  - sudden in onset, gradually increasing in intensity, dragging type of pain , aggravates at night with numbne...

 This is an online E logbook 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 a series of inputs from the available global online community of experts intending to solve those patients' clinical problems with collective current best evidence-based inputs. Patient is a weaver by occupation living in a rural setup.   Chief complaints : Patient came to opd at 12 am with seizures( in an unconscious state).  History of presenting illness: Patient apparently asymptomatic the night before admission. He had come along with his mother for a general check up( his mother had pedal edema). Patient went to sleep around 9pm at night and an episode happened around 12am midnight. The seizure characterised of involuntary movements of hands and legs and horizontal movements of head continuously. The episode lasted for about half an hour.then he was admitted and a...

 This is an online E logbook 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 a series of inputs from the available global online community of experts intending to solve those patients' clinical problems with collective current best evidence-based inputs. Our patient is a 70 year old farmer living in a rural setup.  Chief complaints :  Patient was admitted in the ICU on 9/9/22 in the afternoon with complaints of SOB on doing activities ( walking), easy fatiguability? and pedal edema.  History of presenting illness: The patient had already consulted a local  hospital for his pedal edema for which he was  given IV? And the pedal edema subsided after passing urine.  History of past illness He also tells  that he has recurrent episodes of fever and associated SOB since past 3 years. He used to take tablets and the fever would su...

 This is an online E logbook 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 a series of inputs from the available global online community of experts intending to solve those patients' clinical problems with collective current best evidence-based inputs. Chief complaints:  Patient was admitted to the hospital on 7th sept, 2022 with complaints of vomiting (4-5 times), watery in consistency, since previous day of admission. Non blood stained.  Mild pain in the flanks, intermittent since the onset of chief complaints. Stabbing type of pain.  Increased respiratory rate.  History of present illness: He went to the local practitioner and got his blood sugar levels checked. It was around 580mg/dl, since  then there was no intake of food. Also there is drastic weight loss since the past 10 days. At present, his sugar levels are being monitore...

  This is an online E logbook 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 a series of inputs from the available global online community of experts intending to solve those patients' clinical problems with collective current best evidence-based inputs. Chief complaints : SOB since 1 week, itching and abdominal distension since 1 week and lower lumbar pain ( sacral tenderness).  History of present illness :   She is a known case of Extrapulmonary TB( she found a lump in the right supraclavicular fossa for which biopsy was suggested and TB was confirmed) with Ascites on ATT 21/07/2022; Now presented to the OPD with complaints of Generalized Itching 7- 10 days after starting the ATT regimen. History of shortness of breath not associated with Orthopnea and PND since 10 days. There was also history of pedal edema( pitting type) of both the lower ...