Sushmitha Ramisetty

General medicine case   This is an online e-log book to discuss our patient's de-identified health data shared after taking his/her/guardian's 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.  A  34 year old male who works at printing shop came to the OPD with the chief complaint of abdominal pain since 1 years which got aggravated since 1 month. He also complaints of loss of appetite since 20 days & complaints of 1 episode of blood tinged vomitings  20 days back.    History of present illness :  Normal routine of the patient :  The patient wakes up by 4AM daily, as soon as he wakes he consumes alcohol,then he sleeps for sometime & there is no specific time for his breakfast,lunch and dinner.  Since 2 months he has been experiencing generalized weakness, so much so

             2nd Internal Assessment 1.Antomical and etiology localization for hemiparesis and further management  2.Etiological pathogenesis, clinical features, management, complications of acute pancraetitis?  3.Dengue Fever Clinical features and complications? 4.Cushing Syndrome? 5. Mandibular advancement devic 6. Cardiogenic Pulmonary edema  7. Rheumatoid arthritis  8. Leptospirosis 9. Heart failure  10. Ascites  11. Pyrexia of unknown origin  12. Drug induced liver injury  13. Evaluation of lower backache  14. Renal artery stenosis  15. Acute kidney injury  16. Oral hypoglycemic agent  17. Microvascular and macrovascular complications of Diabetes  18. Light's criteria  19. Metabolic acidosis  20. Iron deficiency anemia

General Medicine Case History  This is an online e log book to discuss our patient de-identified health data shared after taking his / her / guardians signed informed consent. Here we discuss our individual patients problems through series of inputs from available global online community of experts with an aim to solve those patients clinical problem with collective current best evident based input This is a case of 22 yr old female patient came opd with chief complaint of rashes over the body with itching sensation since 4 days.  Fever since 8 days associated with chills on medication & body pains.  The patient was apparently asymptomatic 1month  back when she developed rashes over the legs ,hands & abdomen after contact with her family's lemon field.  For this she visited to local doctor and took medications the rashes subsided and  blackish discoloration remained over the skin.  10 days ago then she developed fever on& off. High grade associated with chills & gen