srimukhi

This is an online elog book to discuss our patients 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 problems with collective current best evidence based inputs.This elog book reflect s my patients centered online portfolio and your valuable inputs on the comments is welcome.    Chief complaint -  A 54 yrs old male patient of resident suryapet, shop keeper by occupation came to opd with chief complaint of pedal edema from 1 month and fever from 4 days.  History of present illness- Patient was apparantly asymptomatic 6months months back and then he developed  fever   associated with chills , rigor and vomitings. He was admitted in local hospital and was found to have raised creatinine levels and diagnosed as renal failure. He was under observation for 10days and treated . He was on

This is an online elog book to discuss our patients 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 problems with collective current best evidence based inputs.This elog book reflect s my patients centered online portfolio and your valuable inputs on the comments is welcome.    Chief complaint  A 65year old male patient of resident  farmer by occupation came to opd with a complaint of Cough with Expectoration and right knee pain from 1 year , lower back ache, neck pain, and burning sensation of feet from 6 months.  History of present illness  Patient was apparently Assymtomatic since 1year then he developed cough with Expectoration (thick, whitish, non blood tinged, odour less sputum).  No History of fever, cold, shortness of breath, chestpain.  History of lower back ache radiati