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." Chief complaints :  1)  Itching since 2 months  2) Decreased appetite associated nausea and vomting since 7 days . 3) Decreased urine output since 1 day. History of present illness :  50 year old male who is a lorry driver by occupation.He was uneducated,till 13 years of age he used to help his father in agriculture farming and then worked as a lorry cleaner for 2 years and later as lorry driver for 30 years. At 13 years of age, patient got married and  15 years of

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." Chief compliants:  1) Altered sensorium since  1 day. 2) Swelling associated with pain in the left back region since 5 days. History of present illness :  65 year old male who is a manson worker by occupation was apparently asymptomatic since 10 years of age, then went to the work near the village head house daily and this continued for around 5 years. At 15 years of age his father died and patient used to stay with his own brother and he used to send him to the wo