Pravalikabejugam

  This is an online e log book to discuss our patient de-identified health data shared after taking his / her / guardians signed informed consent. Here we discuss our individual patients problems through series of inputs from available global online community of experts with an aim to solve those patients clinical problem with collective current best evident based input  A 40 year old male patient came to the casualty with chief complaint of Shortness of Breath worsening since 2 hours Grade 3-4 Palpitations + B/L pedal edema + , pitting type since 10-15days Abdominal distension and  Decreased urine output since 15days H/O fever 1 week back, it's subsided now  Patient was apparently asymptomatic 6 months ago  He then developed an episode of Sob to which he visited a local doctor and he was relieved of his symptoms and he was diagnosed to have  (? LIVER FAILURE ) with yellowish discoloration of eyes and was adviced medication He had intermittent episodes of Sob and continued medicati

  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 also reflects my patient-centered online learning portfolio and your valuable inputs on the comment box i 70year old male resident of ghanakonda came in to casualty with chief complaints of Altered sensorium since 4am in the morning.patient was normal till 6pm in the night,then had dinner and felt uneasiness and took tab.GLIMI M2at around 7pm and had altered sensorium at around 8pm,then went to local hospital and found he was in hypoglycemia,then discharged at around 10pm.at 3:30am in the morning,patient attenders saw that patient was making gurgling sound and brought to KIMS for f