Munukutla Sai Mythili

“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. This e-log book reflects my patient centered online portfolio and your valuable inputs on the comments is welcome.” A 65 year old male a farmer ,resident of bhongiri came to the opd  CHIEF COMPLAINT Dialysis(MHD)  History of presenting illness The patient was apparently asymptomatic 25 days back when he had complaints of shortness of breath, burning micturation, and  And edema to a hospital in bhongiri where he was deemed as chronic kidney disease and was required to do dialysis He came to our hospital for the dialysis He had five dialysis till date 14 years ago he was in a RTA after which h

“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. This e-log book reflects my patient centered online portfolio and your valuable inputs on the comments is welcome.” A 68 year old Female patient who is a resident of choutuppal came to the OPD with CHIEF COMPLAINTS Giddiness Generalised weakness since 5 days Fever since 1day Nausea and vomiting Diarrhea NS1 positive HISTORY OF PRESENTING ILLNESS Patient was apparently asymptomatic 1 week back when she developed high grade fever associated with chills and rigor along with nausea , vomiting with diarrhea The vomiting was since 4 days non projectile and contains food particles about 4 times a day The diarrhea also sin