Navyatha pothula 110

  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.  Chief complaints: Breathlessness since 10days  Epigastric pain since 4 days History of present illness: Patient was asymptomatic 10 years back and developed immense cough which was insidious in onset and gradual in progression   Later he visited hospital and diagnosed with tb  He started his 6 month course of att  He then developed a swelling in the right scrotum  4yrs back which was gradual jn nature  This was diagnosed to be hydroceole   He underwent surgery  His breathlessness was on and off since then  Would increased due to alcohol  10 days back he developed severe sob and got admitted in

  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.  30 yr old female came to the casually with chief complaints of Worsening of shortness of breath from 2day s   FEVER , continuous, not resolving on medications (pyrexia of unknown origin).  - MALAR RASH   on dorsum of nose and cheeks Hopi : Patient was apparently asymptomatic 6 years back and then developed generalised body aches  Then multiple joints were involved, mainly being knee and elbow  There was also associated hairloss  She visited multiple hospitals,and the previous diagnosis was diagnosed with autoimmune disorder  Association of pedal edema  Then 2 months back observed episodes of short