93N.lavanya

N.lavanya  Roll  93  This is 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. A 82 year old resident of Nalgonda came with   Chief complaints  Shortness of breath since 15 days  Cough since 15 days  History of presentating illness  The patient was apparently asymptomatic 15 days back and  developed  shortness of breath which is gradual in onset non  progressive  grade 2 type no aggrevating factors relived on  rest and No associated features  Cough since 15 days with sputum coupious amount white in  colour  non blood stained and non foul smelling  no  aggrevating and  relieving factors . And no associating factors  Dizziness since 10 days  Past history Not a known case o

 N.lavanya  Roll  93  This is 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. A 62 old female who is a resident of voligonda , house wife by occupation came  with the   Chief complaints  Tingling and burning sensation in both the lower limbs since 2 months  Swelling of both the lower limbs since 2 months   History of presenting illness The patient was apparently asymptomatic 2 months. Then developed tingling and burning sensation  of the feet and progressed to knee which intermittent type (on and off)  No aggravating factors and relieved by rest . Pedal Odema since 2 months inscidious in onset gradually progressive from grade 2 to 3 pitting type No aggrevating factors