V Sahithi

  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 75 year old male who is farmer by occupation came to the OPD for MHD for CKD HISTORY OF PRESENT ILLNESS: Normal routine of the patient: He used to get up at 6 in the morning, used to have tea and did some household work, then breakfast at 8 (rice) then used to go for farming, he used to have lunch at 2 which is rice again. He used to return home by 6 in the evening then he used to freshen up and have dinner at 8 PM and sleep after that. The Patient was apparently asymptomatic 3 months back then he had fever first which didn't subside even after 4 days. He then experienced shortness of breath while s

  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.  Date of admission : 27 October 2021 A  48 year old male who is farmer by occupation came to the OPD with the chief complaint of pedal edem a   History of present illness :  Normal routine of the patient :  The patient wakes up by 3 AM daily, carries out all the cattle work along with household work, will have his breakfast by 8 AM (rice and curry), goes to the field and does farming, then he used to have his lunch by 1/2 PM (rice & curry or roti) and return home by 6.30/7 in the evening. Then he used to have his dinner (rice again) and sleep by 8 PM. The patient was apparently asymptomatic 5 years bac

  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.  Date of admission : 17/10/21 A 37 year old man who is farmer by occupation came to the OPD with the chief complaint of  1. Constipation since 1 day 2. Decreased urine output since 1 day 3. Vomitings since 1 day 4. Pain in abdomen since 4 days History of present illness :  - The patient was apparently asymptomatic 5 days back when he observed pain in abdomen for which he took symptomatic treatment for two days in a local hospital.  - The condition subsided but recurred after a day along with constipation, decreased urine output and vomiting that was non bilious in nature. History of past illness :  - The p