MANASA KALE ROLL NO :64

THIS IS AN ONLINE E LOGBOOK 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 A SERIES OF INPUTS FROM THE AVAILABLE GLOBAL ONLINE COMMUNITY OF EXPERTS WITH AN AIM TO SOLVE THOSE CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE-BASED INPUT .   CHIEF COMPLAINTS: History of fever since 2 weeks with chills , headache , generalised body pains  HOPI:  Patient was apparently asymptomatic 2 weeks back then she developed fever associated with chills, headache ,generalized body pains for which she went to hsptl and was treated conservatively but then fever didn't subside. Fever is intermittent in nature and associated with chills which is aggravated at night and relieved on medication. PAST HISTORY: She is k/c/o DM since 7 years for which she is on OHA not a k/c/o HTN,CAD,Asthma,TB PERSONAL HISTORY: Appetite - Normal Diet- mixed Sleep- Adequate B&am

  THIS IS AN ONLINE E LOGBOOK 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 A SERIES OF INPUTS FROM THE AVAILABLE GLOBAL ONLINE COMMUNITY OF EXPERTS WITH AN AIM TO SOLVE THOSE CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE-BASED INPUT . CHIEF COMPLAINTS:  A 45 yr old female who is a housewife and  resident of Nagarjuna sagar  came to OPD with chief complaints of nausea and vomiting since 2days  , heavy menstrual bleeding since 1 1/2 yr. HOPI: Patient was apparently asymptomatic 2 days ago then she developed vomiting which is bilious in nature, preceded by nausea,food as its content, aggravated on taking food and water,10 to 15 episodes per day and not relieved on medication. she also has heavy menstrual bleeding associated with clots [7/20;4 pads per day].Not associated with pain. She went to a local RMP.The symptoms have subsided for a

  THIS IS AN ONLINE E LOGBOOK 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 A SERIES OF INPUTS FROM THE AVAILABLE GLOBAL ONLINE COMMUNITY OF EXPERTS WITH AN AIM TO SOLVE THOSE CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE-BASED INPUT . CHIEF COMPLAINTS: A 54yrs old female who is a housewife from Nalgonda came to opd with chief complaints of SOB since 2days and generalised weakness. HOPI: Patient was apparently asymptomatic  8 months ago then she developed SOB which is insidious in onset and continuous in nature which aggravates on walking and also on lying down.It gets relieved on sitting position [grade 3 SOB].It is also associated with dry cough.She also has genearalised weakness and also fever since 8months which is intermittent in nature. She consulted a local doctor in Nalgonda from where she got to know that she has low Hb levels