24.Animisha

 CASE HISTORY 4 This is an online e log book to discuss our patient de-identified health data shared after taking his /her /guardians signed informed consent.Here we discuss our individual patients problem through series of inputs from available global online community of experts with an aim to solve those patients clinical problem with collective current best evidence based input. A 30 year old Male patient  presented to OPD with a chief complaint of  :   1. pedal edema since 1 month .  2.  shortness of breath since 1 month . HISTORY OF PRESENT ILLNESS  :  Patient was apparently asymptomatic 1 month before  And then developed pedal edema and shortness of breath . Pedal edema is of pitting type . There is presence of abdominal distension  And presence of abdominal pain since 1 month and the pain is relieved by taking medication . Patient complains of cough with sputum since  1 month  And also complains about high grade fever and chills since 2 days . PAST HISTORY  :  Patient had a simi

 CASE HISTORY 3 : 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. Date of admission - 11th September 2021 A 33 year old female patient came to the opd with  cheif complaint of : High fever since 3 days Lower back pain since 3 days HISTORY OF PRESENT ILLNESS  :  Patient was apparently asymptomatic 3 days back then developed high fever and with body pains mainly on the lower backache after the episodes of fever.which is generally radiating to the groin Fever is sudden in onset , continuous, and relieved by taking medications .when medication is stopped fever is seen again And the fever is associated with rigors and sweating . And the sweating is gen