GOURI REDDY ROLL NO 50

  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 .This e-log book also reflects my patient centered online learning portfolio and your valuable inputs on comment box is welcome. A 58year old woman who works in an Anganwadi center came from Gurrampur with complaints of fever, generalised body pains since 20days History of presenting illness  She was apparently asymptomatic 7 years back, then she had generalised weakness and went to a hospital was diagnosed with diabetes and was started on medication(GLIMIPERIDE and METFORMIN) She has fever, high grade with evening rise in temperature and with chills. She also has generalised bodypains. Then she went to a ho

 A 55 year old man, resident of Yadagirigutta has come with complaints of reduced urine output since yesterday (01/08/2022) night 10pm History of presenting illness Patient was apparently asymptomatic 20 days ago, then had fever with evening rise of temperature and chills. He went to a hospital 2 days later and was given medication. He went for a checkup 5 days later and was found to have reduced WBC count and was given medication. He went for a checkup a week later and had found out to have jaundice. 3 days ago, he had fever with yellowish discolouration of eyes(Serum bilirubin was 2.4mg/dl) and pedal edema(upto ankle). Since yesterday(01/08/2022) night 10pm, he has not passed urine, his abdomen is distended and he has shortness of breath. Past history  History of fracture of head of femur in Jan 2022. He underwent reconstructive surgery with prosthesis and was on advised bed rest for 2 months   N/k/c of Diabetes, hypertension, epilepsy, asthma, CAD, Thyroid disorders,Tuberculosis  Pe