General medicine case

  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. This E log book also reflects my patient-centered online learning portfolio and your valuable inputs on the comment box CH.DIVYA  HALL TICKET NUMBER- 1701006030 CHIEF COMPLAINTS  A 71 year old male patient came to opd with chief complaints of breathlessness and cough since 20 days Fever since 4 days HISTORY OF PRESENTING ILLNESS Patient is apparently asymptomatic 20 days back then he developed cough and shortness of breath. cough- is associated with sputum  color of sputum - whitish( Mucoid)  Blood tinged sputum ( 2 to 3 episodes) Non foul smelling Shortness of breath - insidious in onset, grade III

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. This E log book also reflects my patient-centered online learning portfolio and your valuable inputs on the comment box . CH.DIVYA  HALL TICKET NUMBER- 1701006030 A  40/F Came with chief complaints of , Abdominal Distension since 1 year  Associated with abdominal discomfort-diffuse abdominal pain, aggravated after eating, relieved on sleeping , sitting and after defecation. Dizziness and headache -9 days back Facial puffiness since 1 year  Itching all over the body since 1 year and developed multiple plaques on abdomen and Lower limbs.  Sob since   9  days pedal edema since 9 days ,pitting type H/O P