G.NehaReddy

 67yr old male with fever since 20days A 67 yr old male patient who was a daily wage labourer 5yrs back has come to the OPD with CHIEF COMPLAINT:  fever•.• 20days Shortness of breath •.• 10days HOPI patient was apparently a symptomatic 5yrs ago then his daily rotuine was  “Wakes up at 6am, complete his nature calls,brushes with neemstick, have’s his tea and takesbath , he takes rice as his breakfast and dinner,   skips his lunch most of the times .spend his rest of the time with neighbours and watching tv sleeps at around 9pm” SOB was insidious in onset, gradually progressing from grade 1 to grade.2   , relieved on taking rest associated with cough since 10days no h/o orthopnea, PND  Fever was continuous type no aggravating factors and relieved on taking medications then he went to an hospital . He was there for 2days and the fever and cough subsided ,discharged and was at home for 2 days with decreased appetite so he was eating less or no ,later ...

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 reflects my patient centered online portfolio and your valuable inputs on the comments is welcome.” a29yr old Female ,who is an homemaker has come to tha OPD with the cheif complains of  ✓B/L knee joint pains since 10months ✓pigmentation on the face ,neck ,upper part of chest and on back since 10months HOPI there are 2 members in the family lives with an avg income of 500/day  daily routine ` wakes up at 5 o'clock ,offers her prayers and sleeps. then wakes up at 7:30 Am ,freshes up ,drinks tea and bread & she does the household works viz.cooking,washing clothes etc., eats every meal with...