70Kalpak mawale

General medicine  Hi i am KALPAK MAWALE 3rd sem 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 patients' clinical problems with collective current best evidence-based inputs Cheif complaint  - A 50year old male ,labour by occupation came to OPD with chief complaints of   shortness of breath since 5 days Vomiting since 3 days History of present illness- Patient was asymptomatic 1 year back. Then he Diagnosed with chronic kidney disease he is on conservative treatment. SOB is insidious in onset, not present during rest and is more prevalent during night (PND). SOB is generally experienced after walking a short distance.The patient also complained that the breathlessness is increased by lying down suggesting orthopnea. Vomiting is presen

General medicine  Hi i am KALPAK MAWALE 3rd sem 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 patients' clinical problems with collective current best evidence-based inputs Chief complaint - 70 year old male patient farmer by occupation came to hospital with complaint of breathlessness, dry cough, fever History of present illness- Patient was asymptomatic 1 week ago then he developed SOB with cough and fever. SOB is present in rest and more in night He also experienced SOB by walking short distance. He developed cough 1 week ago Cough is non productive (dry cough) which is disturbing patients sleep. Fever is also present along with SOB But fever was reduced 3 days ago also by taking medicine  HISTORY OF PAST ILLNESS- The patient had

General medicine  Hi i am KALPAK MAWALE 3rd sem 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 patients' clinical problems with collective current best evidence-based inputs Cheif complaint  - 55 year old male patient came to OPD with chief complaint of  Loin pain since 3 months Server iching of skin all over the body since 3 month Fever since 5 days   History of present illness- Patient was asymptomatic 3 months before Then he developed loin pain radiating towords back of neck also severe iching of skin all over the body  which develops small white spots Then he developed fever 5 days back before came to OPD and shortness of breath 4 days back History of past illness - H/o DM from 2 year H/o hypertension from 1 month No H/o asthama ,