39 Bhavana Gadari

A 63 yr old female  came to  GM opd with the cheif complaints of shortness of breath , palpitations and burning pain in the stomach. Since 1 year.  HOPI : Pt was apparently asymptomatic 1yr back and she had an injury to her right leg and didn't got treatment for that. Later on that infection got severed and her total body has swollen  and experienced shortness of breath and pricking pain in the chest and after that she went to a local hospital and got tested and treated.  In the tests she was told to have heart problem and kidney problem.  Then she also took medications for that problem.  But that shortness breath and chest pain is not relieved.  Patient also told about decreased urine output.  Patient also complaining about tingling sensation in the soles b/l. No h/o Polyuria, polyphagia, polydypsia.  No h/o fever.  No h/o vomiting.  No h/o diarrhoea.  PAST HISTORY Not a k/c/o  DM, HTN, ASTHMA, EPILEPSY, TB PERSONAL HISTORY: Appetite is decreased.  Mixed type of diet.  Sleep adequ

This is an a online e log book to discuss our patient de-identified health data shared after taking his / her / guardians signed informed consent. Here we discuss our individual patients problems through series of inputs from available global online community of experts with an aim to solve those patients clinical problem with collective current best evident based input. The patient/ attender was informed the purpose of the information being acquired. An informed consent was taken from patient/ attender and there is omission of information that was requested to be omitted.  80p year old male with  cough and difficulty in breathing since 2 years  An 80 year old male patient, farmer by occupation, resident of Nalgonda came to the hospital with  CHIEF COMPLAINTS of cough and difficulty in breathing since 2 years, which  aggravated since 2 months  HISTORY OF PRESENTING ILLNESS  Patient was apparently asymptomatic 2 years ago then he had complaints of shortness of breath which was insidious

This is an a online e log book to discuss our patient de-identified health data shared after taking his / her / guardians signed informed consent. Here we discuss our individual patients problems through series of inputs from available global online community of experts with an aim to solve those patients clinical problem with collective current best evident based input. The patient/ attender was informed the purpose of the information being acquired. An informed consent was taken from patient/ attender and there is omission of information that was requested to be omitted.  A 62 yrs old pt came to GS opd with blackish discoloration of left great toe since 15 days.   HOPI pta was apparently asymptomatic 3 months back and developed a blister on the left great toe and that has ruptured and formed an ulcer which is not healed and that  infection has gradually increased. 15 days back pt came to hospital with blackish discoloration of that great toe.  No h/o any fever No h/o itch