AKHILA CHIPPA 23

    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 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  45 Y/O female with fever and rash                  A 45-year-old female tailor by occupation came to the hospital with  chief complaints of fever on and off, associated with generalized body pains, loss of appetite for 3 months,  facial rash since 10days.        HISTORY OF PRESENT ILLNESS :   Patient was apparently asymptomatic  10 years back then she developed joint pains started first in the knees and ankles then slowly progressed to hands associated with swelling and morning

1701006032 CASE PRESENTATION  LONG CASE : A 30 year old female patient who is house wife by occupation resident of Nalgonda came to OPD with chief complaints of  Chief complaints :    Facial puffiness and pedal Edema since 2 days  Shortness of breath since 2 days  Abdominal pain since 2days  History of presenting illness : Patient was asymptomatic 7 months back and she developed facial puffiness and bilateral leg swelling which was pitting in type  SOB: insidious in onset gradually progressed to grade 4 not associated with change in position no aggravating and relieving factors  Abdominal pain : pain in epigastric region since 2days which was started suddenly and burning type of pain  Past history  She is a known case of hypertension since 12 years  Personal history : Appetite : decreased  Diet : mixed  Sleep : inadequate  Bladder : decreased urine output Bowel movements: normal  Addictions :absent    Family history: Patients mother is hypertensive  General examination: Pallor: present