General Medicine

  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.  Pt came with complaints of  Tingling and numbness in right upper limb and lower limb since 4 hours Weakness in right upper limb and lower limbs since 2 hours Difficulty in walking HISTORY OF PRESENTING ILLNESS: Patient was apparently asymptomatic 4 hours ago.  Then he developed tingling and numbness in right upper and lower limbs since 4 hours  Weakness in right UL and LL since two hours and difficulty in walking. No H/O loss of consciousness, involuntary movements,giddiness, v

 56 year old female, resident of narketpally Came with the chief complaints of abdominal distention since 20 days and swelling of lower limbs since 20 days  History of presenting illness: Patient is apparently alright 20 days ago then she developed abdominal distension which is insidious in onset gradually progressive in nature,abdominal highness is present and aggravated after having food Patient had pedal edema till knee which is on and off and since 5 days pedal edema is continuous in nature upto knee and putting type Patient complaints of sob when abdominal bloating is present No c/o chest pain,pnd,orthopnea,palpitations  No c/o Fever,cough,cold,vomitings,loose stools  Patient is a k/c/o chronic liver disease K/c/o HTN since 13 years and on Tab.Telma 40mg po/od K/c/o DM-II since 3-4 years and on Tab.Metformin 500mg po/od K/c/o hypothyroid since 13 years and on Tab.Thyronorm 50mcg po/od Patient was admitted 11 months back with similar complaints and ascitic therapeutic was done PERS