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 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 60 yr old male patient presented to opd with chief complaints of altered sensorium (loss of consciousness) 5 days back and fever 5 days back and he had  1 episode of vomiting 6 days back HISTORY OF PRESENT ILLNESS Patient was apparently asymptomatic 15 yrs back  15 yrs back he had giddiness and weakness and on routine check up he was diagnosed as diabetes then and 5 days back he presented to opd with chief complaint of altered sensorium 5 days back fever 5 days back and vomiting 6 days back 4 months back patient had injury to left foot small ulcer developed initially and then progressed and had amputatio

 1. Define heart failure. Etiology and clinical features of heart failure? How do we diagnose heart failure clinically ,physical examination and various modalities used in diagnosis of heart failure. Write a brief note of heart failure 2. Define cirrhosis of liver. Etiopathogenesis of cirrhosis . Write a brief note on clinical features, diagnosis and treatment of cirrhosis of liver 3. Elaborate on clinical features and Diagnostic modalities of renal calculi 4. Etiology of pleural effusion. Diagnostic criteria of pleural effusion 5. Diagnosis and treatment of dengue fever 6. Clinical features and diagnosis of peptic ulcer disease 8 Treatment of abdominal tuberculosis 9. Etiology and treatment of pneumonia 10. Complications of dialysis 11 ascitic fluid analysis. 12. Proton pump inhibitors   13 After load reducing agents in heart failure 14. Treatment of urinary tract infection 15. Differential diagnosis of fever with rash 16. Insulin therapy in Diabetes mellitus 17. Antihypertensive drug