Case study

 The patient history was taken from psychiatry notes written by Dr.Sravanthi mam. 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. 20 September 2021 30 yr Male came to casuality with chief compaint of pedal edema and shortness of breath since one month . HISTORY OF PRESENT ILLNESS: Patient was apparently asymptomatic 1 month back ,and then he developed pedal edema(pitting type)and sob(grade2)  He has fever since 3days associated with chills. He has cough from 20days. PAST HISTORY: He had similar complaints 5 yrs back and workup

 September 13,2021 "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." September 13,2021 A 60yr old male presented to the opd with cheif complaint of pedal edema, facial puffiness and decreased urine output from the past 10days. HISTORY OF PRESENT ILLNESS The patient was apparently asymptomatic 6momths back and developed pedal edema, facial puffiness, decreased urine output and shortness of breath. PAST HISTORY No history of diabetes and tuberculosis Known case of hypertension PERSONAL HISTORY loss of appetite Mixed die

August 6, 2021 "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 6, 2021 60 yr old female, presented to the casualty with cheif complaint of pedal edema from one month and facial puffiness for the past 15days. HISTORY OF PRESENT ILLNESS:  S0B since a day  Bilateral pedal edema since 1 month  Facial puffiness and Abdominal distension for the past 15 days. HISTORY OF PAST ILLENESS: She is a resident of Miryalaguda, having 4 children. Patient used to work as ayamma in govt Hospital she stopped working 5 years ago