Case study

 9 Feb 2022 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 . CHIEF COMPLAINT: A 13yr old female patient presented to the opd with chief complaint of abdominal pain since 2 days. HISTORY OF PRESENT ILLNESS: Patient was apparently asymptomatic 2 days ago then she developed epigastric pain radiating with moderate severity and gradually progressive. 2 episodes of vomiting since 2 days with food as content and non bilious non projectile PAST HISTORY  Pt is a known case of sickle cell anaemia since 2012  History of sickle cell crisis

1. Define heart failure. Etiology and clinical features of heart failure? How do we diagnose heart failure clinically ,physical examination and various modalities used in diagnosis of heart failure. Write a brief note of heart failure? 2. Define cirrhosis of liver. Etiopathogenesis of cirrhosis . Write a brief note on clinical features, diagnosis and treatment of cirrhosis of liver?                                      3. Elaborate on clinical features and Diagnostic modalities of renal calculi? 4. Etiology of pleural effusion. Diagnostic criteria of pleural effusion? 5.Diagnosis and treatment of dengue fever? 6. Clinical features and diagnosis of peptic ulcer disease? 7. treatment of acutepyelonephritis 9.Etiology and treatment of pneumonia? 10. complications of dialysis? 11.  Ascitic fluid analysis 12. Proton pump inhibitors   13.after load reducing effects on heart? 14. Treatment of urinary tract infection 15.Differential diagnosis of fever with rash? 16. Insulin therapy for diabete

 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. 21 December 2021 A 55 year old female presented to casualty with chief complaint of decreased urine output since 15 days and fever from 4 days associated with chills and vomiting(1 episode). HISTORY OF PRESENT ILLNESS: Patient was apparently asymptomatic 1 year ago. When her sister died, she was crying felt weak and was taken to hospital and routine investigations were done. She was told she had kidney problem and was referred to Kamineni I/V/O dialysis and was admitted, 2 sessio