Aishwarya Laxmi

  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. This is a case of 20 year old male came with cheif complaint of weight loss of nearly 7 kgs (73kgs to 67 kgs ) within 1 month,polydypsia since 6 months  History of present illness:-  Patient was apparently asymptomatic 1 month back then he noticed gradual loss of weight nearly 7 kgs ( unintensional - from 73 kgs to 67 kgs) in a span of 1 month.He had h/o polydypsia since 6 months(drinks 7 to 8 liters of water per day).H/0 polyuria,delayed wound healing present .Tingling sensation

  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   -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-cen tred online learning portfolio and your valuable

  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. 38yr old male , works in a book stall  HAS BEEN ON DIALYSIS SINCE 6YRS. Yesterday night he came with  c/o shorteness of breath ,pedal edema, abdominal distension and got admitted.  He cannot walk on his own, needs support. Yesterday's vitals: Bp:140/90mmhg RR: 28cpm Spo2: 98% RA. Today he has a dialysis session. His last dialysis was about a month ago He comes under day care basis usually. He has AV fistula to his left arm. H/O HTN since 2yrs on tab. NICARDIA 20mg. Today mrn

  NOTE: 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 INTENDING TO SOLVE THOSE CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE-BASED INPUT.  PATIENT HISTORY:  Pt is a 38 yr old female homemaker.  She had no complaints before 2020. 2 yrs ago, she started c/o burning micturition one day with increased urgency and frequency. At first, she ignored it for a few months, but as the burning sensation intensified, she went to Kolkata for consultation. Medication was prescribed, but no improvement was noted. She would go to the washroom 3-4 times every hour and needed 20-25 mins to pass urine. In the meantime, she started c/o decreased urine output, dysuria, incomplete bladder voiding, and a bloated lower abdomen. She once c/o pain and passing of re