M.Laxmi Sri

  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" CHIEF COMPLAINT:- 35 year old male came to our hospital on 1/02/2022 with chief complaints of upper abdomen pain since one week,fever since one week ,backpain since 4 days. HISTORY OF PRESENT ILLNESS:- Patient was apparently asymptomatic 20 days back ,then he observed yellowish discolouration of eyes and got admitted to near by hospital. later 1week back he developed pain abdomen which was insidious in onset, gradually progressive.  Pain in right hypochondrium and gastric reg

  This is an online E-log book to discuss our patients de-identified health data shared after taking his /her/ guardian informed consent here we discuss our individual patients problems through series of input from available global online community of experts with an aim to solve those patients clinical problems with collective current best evidence based inputs. Date of admission - February 3  43 year old female patient presented to the opd with chief complaints of vomitings and pain in the abdomen since 1 day.  History of present illness- Patient was apparently asymptomatic since 6 years back , then she had anasarca for which she was admitted in hyderabad.  There she was diagnosed with hypothyroidism ( tab. Thyronorm 50 micrograms  ),renal failure (tab. Torsemide 20 mg+spironolactone50mg) and diabetes mellitus for which she was on injection Mixtard and increased in doses since 1 and half year.  Now she presented to the opd with pain in the abdomen which is of diffuse ,intermittent ,d