Exam

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 is welcome." 43 year old female,who is apparently normal till 18 years of age.At 18 years of age, patient got married and had gave birth to make child after 1 year .This child expired at 4 months of age due to fever in outside hospital. After 6 months she conceived again and gave birth to female child .The child died at 3 months of age due to fever.Both of this pregnancies ,she had no complications during her pregnancy and delievered by normal vaginal delivery. After 1 year ,s

This is a case of 40 year old male with Chronic kidney disease on maintenance hemodialysis since 7 years. At around 6 years of age , patient father died due to some unknown illness.Patient used to drink alcohol ,when he was in intermediate along with his friends and it went out of control.He used to take more than 180ml of whisky per day and also used to drink toddy.He says as there was no father figure in his life , he continued to drink heavily.He started working as a collection agent in a finance company and used to drink and smoke heavily ( around 15cigarettes perday ) while he was on job.At around 26 years of age, patient got married and there was a marital issues between the patient and the wife due to his chronic alcohol behaviour at around 29 years of age , his daughter was born.and now she was 11 years old. 10 years back , in 2012, he was admitted in Kamineni De addiction Centre for treatment of his chronic alcoholism.He was sober for around 4 months, then after he started dri

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 is welcome." Clinical history :   70/M, whose is a farmer by occupation was apparently asymptomatic 10 years back..Had expiry of his son 10years back ,stopped going to work.and after 6 months patient had increased urine output with burning sensation of both lower limbs and found to be diabetic and hypertensive and started on OHA's and used to OHA's on /off ( only when patient had increased urine output,he used to take OHA's ). Patient used to plant vegetables in hi