Gnana prasanna

40 yr old male with jaundice and pruritis  with type 2 diabetes mellitus February 16 , 2023 This is an online E logbook to discuss our patients' de-identified health data shared after taking his/her/guardian's signed informed consent. Here we discuss our individual patient's problems through a series of inputs from the available global online community of experts intending to solve those patients' clinical problems with the collective current best evidence-based inputs. This e-log book also reflects my patient-centred online learning portfolio and your valuable inputs on the ent box are welcome .. Name : E. Gnana Prasanna Roll no :01  Admission no :166029 Chief complaints: Yellowish discolouration of eyes since 20 days Itching all over the body since 20 days  History of presenting illness: Patient was apparently asymptomatic 20 days back then he developed yellowish discolouration of eyes and greenish yellow discolouration of urine Loss of appetite present Relieved on me

NOTE: THIS IS AN ONLINE E LOGBOOK 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 A SERIES OF INPUTS FROM THE AVAILABLE GLOBAL ONLINE COMMUNITY OF EXPERTS INTENDING TO SOLVE THOSE CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE-BASED INPUT  Name : E. Gnana Prasanna Roll no : 01  Admn no : 166029 21 YEAR OLD FEMALE CAME WITH THE CHIEF COMPLAINTS OF  →VOMITINGS SINCE 1DAY →STOMACH PAIN SINCE 1DAY →LOOSE STOOLS SINCE TODAY EVENING  HOPI: PATIENT WAS APPARENTLY ASYMPTOMATIC ONE DAY AGO, THEN SHE CONSUMED HOSTEL FOOD FOLLOWING WHICH SHE DEVELOPED DIFFUSE STOMACH PAIN WHICH IS OF SQUEEZING TYPE. SHE HAD 6 EPISODES OF VOMITINGS, NON BILIOUS NON PROJECTILE AND WITH FOOD AND WATER AS CONTENT. LOOSE STOOLS - 4 EPISODES WATERY IN CONSISTENCY NO H/O FEVER, HEMETEMESIS, BLOODY DIARRHOEA  PAST ILLNESS:  NOT A KNOWN CASE OF DM, HTN, CAD, CVD, EPILEPSY, TB

A  88 yrs old  Female  presented to casualty with C/o  irrelevant talk and altered mental status since 10 days Shortness of Breath since 3 days  Cough since 3 days  HISTORY OF PRESENT ILLNESS: Patient was  asymptomatic 10 days ago and then developed altered mental status on & off and her speech being non cohorent  at times and later becoming normal by herself , each episode  lasting for 10- 15 mins . Productive cough 2 days ago  Now dry cough Shortness of breath since  3 days  initially grade III progressed  grade IV in these  3 days.  Later went to outside hospital and 2 D echo was done   2 D echo ( CAD , LAD + territor) , Global Hypokinesia , Severe LV dysfunction  No history of chest pain , palpitations , giddiness. HISTORY OF PAST ILLNESS: N/ K/C/O HTN , DM , CVA , Epilepsy , Asthma  PERSONAL HISTORY:  DIET: MIXED  APPETITE: DECREASED  BOWEL AND BLADDER MOVEMENTS: REGULAR  SLEEP: ADEQUATE  ADDICTIONS: NO ON EXAMINATION : PATIENT IS CONSCIOUS NON COHERENT AND COOPERATIVE  GENERA