Case history

       GENERAL MEDICINE  CASE-4 sept14th, 2021 ''This is the online E log book to discuss our patients de-identified health data shared after taking his/her/guardian's signed informed consent. Here ,we discuss our individual patient's problem throught series of inputs from available globel online community of experts with an aim to slove those patients clinical problems with collective current best evidence based inputs.' A60yrs male patient presented to opd with chief complaints of shortness of breath, decresed urine output along with generalised weakness since 1year. HISTORY OF PRESENT ILLNESS Patient was apparently asymptomatic 1yr back and developed pedal edema along with shortness of breath and decresed urine output. Then he visited our hospital and was admitted into dialysis ward because on  diagnosis he as chronic kidney disease. He was on dialysis since 1month once in 3days. after dialysis patient complains of abdominal pain ,chest pain along with fever. PAS

              DENGUE FEVER 20 September 2021 "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." A 30yrs male patient presented to the OPD with chief complaint of fever ,generalised  weakness since 3days. HISTORY OF PRESENT ILLNESS The patient was apparently asymptomatic 3days back  then presented with fever,chills,cough,headache. Associated with generalised weaknesss and giddiness. PAST  HISTORY History of jaundice 2months back. No history of diabetes,hypertension,thyroid disorders,asthama. PERSONAL HISTORY Diet:mixed

  A 45year old female was bought to casuality with involuntary movements of upper limb and lower limb September 11, 2021 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." CHIEF COMPLAINT - Involuntary movements of upper and lower limb at night. - One episode at 10 pm - Subsided in few minutes, and other episodes in between 2am- 5am with intermittently regaining       consciousness in between. -Seizures were tonic type involving all four limbs with deviation of mouth and uprolling of eyes, frothing and involuntary micturitio