R.Sandeep

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 is welcome. Case: A 45 y old male upasarpanch by occupation and resident of nalgonda came to the hospital with the chief complaints of Pedal edema since 15 days Difficulty in walking since 15 days Sob since 5 days HOPI Patient was apparently asymptomatic 15 days back then he developed bilateral pedal edema which is of pitting type intially upto ankle later progressed to knees  Difficulty in walking since 15 days as patient felt heaviness in both the legs and felt difficulty to lift

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 is welcome. Case: A 45 year ol male resident of Nalgonda, TSRTC busdriver by occupation came with chief complaints of black colour loose stools since 10 days, C/O loss of appetite since 10 days, C/O SOB while walking since 10 days, C/O easy fatigubility since 10 days HOPI: Patient was apparently asymptomatic 10 days back then he had loose stools daily 4-5 episodes, first episode of stool is semi solid, subsequent stool episodes are of black color and watery in consistency, non muco