B.Tejaswini

 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 patients 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 comment box is welcome 18year old girl came with chief complaints of fever since 2months , joint pains since 2months, vomiting 2 months back for 1week, headache 2 months back. HOPI :- Patient was apparently asymptomatic 2months back ,then she developed fever following after fever subsides pt started having pain in the interphalangeal joints of left hand.Then later to other joints ,subsides with medication and relapse after stopping the medication.now she has h/o fever with multiple joints pains (small j

  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 patients 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 comment box is welcome. Date of admission: 3/02/2022. A 67 old male patient came to the OPD with the chief complaint of shortness of breath and bilateral pedal edema ,pitting type since 3 days, orthopnea, paroxysmal nocturnal dyspnea. History of present illness: Patient was apparently asymptomatic since 20 yrs back then he developed sever cough with sputum went to hospital and diagnosed with TB use ATT course for 9 months and relieved. Patient developed shortness of breath of grade 2-3, grade 2 pedal e