07.Ram subhash

  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" August  11, 2021 A 50 yr old female patient presented to opd with chief complains of facial puffiness, intermittent fever, low urine output and irregular menstrual cycle.  History of present illness: -Patient was admitted in the hospital with above mentioned complaints on 3rd july 2021. -There she was diagnosed with ovarian cyst. She was recommended to undergo hysterectomy.  -During the surgery, she was diagnosed with kidney disease.  -Patient was admitted in another...

  This is online elog book to discuss for patients deidentified health data shared after taking her/guardians signed informed consent Here we discuss our individual patient 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.  A 50 years old male patient presented to the opd with chief complaint of swelling of lower limbs, decreased urine output and shortness of breath since 1 year.  HISTORY OF PRESENT ILLNESS Patient was apparently asymptomatic 1year ago, then developed pedal edema and shortness of breath.  1 year ago patient had recurrent fever for which he visited the hospital, where he diagnosed as chronic kidney failure and undergone hemodialysis 3 times. Later presented to KIMS for further evaluation.  The patient had low grade fever and neck pain.  PAST HISTORY Patient had a fracture of right lower limb 6 years ago ...