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. CHIEF COMPLAINT: A 62 yr old male patient came to the opd with the weakness in both lower limbs extending upto the thigh.Unable to lift and walk. HISTORY OF PRESENT ILLNESS: The patient was apparently asymptomatic one week back . On that day from evening he gradually developed weakness in lower limbs and lost his sensation around 1 am in the night. He also noticed slurring of speech, dizziness. On the next day morning he couldn't able to wake up and walk from the bed. PAST HISTORY: Patient had similar complaints about 3 times in the past . He had a first attack in 2018 where both upper and lowe...

  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. CHIEF COMPLAINTS:- A 14 yr old male patient came to opd with fever  and chills , cough with sputum since 5 days. History of Present ILLNESS:- The patient was apparently asymptomatic 5 days back.Then he developed fever associated with chills. Cough associated with sputum since 5 days. There is history of vomiting 1 episode 3 days back which was non projectile and non bilious. No h/o pedal edema. No h/o decreased urine output,s/o/b, palpitations. No h/o chest pain and abdominal pain. PAST HISTORY:- No history of such illness in the past. Not a k/c/o diabetes, hypertension,asthama or epilepsy. PERSONA...

  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 A 35 yr old female patient presented to the opd with chief complaint of passage of loose stools since 1 month. HISTORY OF PRESENT ILLNESS   Patient was apparently alright 1 month back and gives history of passage of large volumes stool, hard in consistency occasionally. History of intermittent fever and no history of constipation,cough and loss of appetite.patient also complaints of tiredness and weakness. HISTORY OF PAST ILLNESS  There is no history of hypertension,diabetes mellitus,tuberculosis,asthma,epilepsy PERSONAL HISTORY  Diet is mixed               ...

 This is online elog book to discuss for patients deidentified health data shared after taking her/guardians signed informed consent.Here we discuss our individual patient problems through 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. A 45 years old male resident of Suryapet, Mechanic by occupation, presented to the OPD with the chief complaints of pedal edema, decreased urine output and shortness of breath ( grade -2) from past 6 months.   Patient was on hemodialysis maintanence till August 1st and then went to NIMS for peritoneal dialysis.  HISTORY OF PRESENT ILLNESS:-  2 years back patient noticed puffiness of the face, bilateral pedal edema then he visited hospital in Khammam and was on medication.  Patient was apparently asymptomatic 6months back then he developed pedal edema which is gradually progressive in nature associated ...

 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. A 30 year old female came to the casualty with the chief complaints of cough since 20 days and SOB since 3-4 days.Patient a/a 20 days back.Then she developed cough which is insidious in onset and intermittent and associated with expectoration which is whitish in colour and scanty in amount.It is associated with right sided chest pain which is sharp pricking  type of pain and increased on inspiration.It is also associated with fever since 20 days.Low grade, intermittent fever subsided on taking medications. HISTORY OF PRESENT ILLNESS:- SOB since 3-4 days which is insidious in onset and non-progressiv...

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. A 45 old male patient presented to the opd with the cheif complaint of fits . HISTORY OF PRESENT ILLNESS - -patient was apparently asymptomatic until midnight 1Am.Then he developed with seizures around 1 to 2 am. -Each episode lasts for 2 to 3 min associated with tongue bite and uprolling of eye balls . -Patient had a total of 3 episodes with postictal confusion for 5 to 10 mins and vomiting after each episode. -no history of fever and headache . -history of left lower limb swelling on and off associated with pain since 1 month . -no other complaints HISTORY OF PAST ILLNESS . -patient had a history o...