Sreeja Dukkipati

This is an online E log book to discuss our patient's    de-identified health data shared after taking 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. CASE PRESENTATION : 80 year old man from Dattaiahgudem, Mothkur mandal presented to casuality with chief complaints of pedal edema from 10 days. Complaint of fever 15 days back intermittent type not associated with cough, cold, vomitings. Fever subsided five days back after which patient developed reduction in urine output. Patient also complained of grade 2 to grade 3 dyspnea along with pedal edema. Patient was apparently asymptomatic 15 days back when he developed inte

This is an online E log book to discuss our patient's    de-identified health data shared after taking 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. CASE PRESENTATION: 35 year old man from Ammanabolu, shepherd by occupation came with the chief complaints of Chest pain, Shortness of breath and cough.He is a known case of chronic kidney disease on maintenance hemodialysis since 6 months. Patient was apparently asymptomatic 4 years back when he first experienced giddiness and headaches. He went to a local doctor and was then diagnosed with Hypertension. Since then he was on regular medication.He also recalled having mil

This is an online E log book to discuss our patient's    de-identified health data shared after taking 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. CASE PRESENTATION: A 22 year old lady presented in the wee hours of Sunday with pain abdomen and vomiting.  The patient was apparently asymptomatic at 8 pm when she had her dinner as usual, a mix of rice, lentils, vegetable curry and curd and went to sleep at around 10 pm. She first developed pain at 2 am which was deep, pricking type, localising to the epigastrium. The pain then gradually worsened and she vomited all the food she had for dinner. She then had a few more