Vaibhavi Vishwanath

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 72 yr old male  patient  agriculture by occupation presented to the opd with chief complaint of pedal edema , shortness of breath and decreased urine output since 20 days  HISTORY OF PRESENT ILLNESS Patient was apparently asymptomatic 3 yrs back. Patient complaints of shortness of breath, decreased urine output,and pedal edema since 20 days Patient noticed the swelling in his leg and has joint pains and he visited local hospital and medication was taken at that time patient was diagnosed with diabetes and hypertension.  After that patient patient suffers with shortness of breath and has visited to a

  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 yr old patient presented to the opd with the chief complaint of fever , loose stools 20 episodes , vomiting  20 episodes since 1 month HISTORY OF PRESENT ILLNESS Patient was apparently asymptomatic 6 months back. Then the patient complaints of fever which is intermittent  Loose stools - large volume; watery in consistency not with any mucus or blood and no abdomen pain  vomiting- non projectile ; contains food particles and non foul smelling - Fever ; vomiting; sudden weight loss since 2 months and also complaints of loss of appetite - lt all started 6 months back, when the patient had compla