Jakkoju Bhavani

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 WITH AN AIM TO SOLVE THOSE CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE-BASED INPUT  CHEIF COMPLAINTS:- C/O fever high grade since 5days ,  increased bleeding during menses since 3days , increased frequecy of stool since 3days. HISTORY OF PRESENT ILLNESS  HISTORY OF PAST ILLNESS  No known  history of Diabetes,Hypertension, epilepsy, Tuberculosis, Asthma Known c/o of Hypothyroidism since 10 years  On medication Thyronorm -100mg PERSONAL HISTORY  Marital status- Married  Occupation- Housewife Appetite-normal  Diet-nonvegeterian  Bowel-regular  Micturition- normal  No known allergies ,smoking, alcohol  FAMILY HISTORY  No significant family history  GENERAL EXAMINATION  No pallor, cyanosis, icte

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 WITH AN AIM TO SOLVE THOSE CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE-BASED INPUT  CHEIF COMPLAINTS:- C/o painful skin lesions over the soles and fingertips since 4days H/o burning sensation over epigastric region since 1month HISTORY OF PRESENT ILLNESS :- Patient was apparently alright 4days back complaint of painful skin lesions over the soles and fingertips . H/o burning sensation over epigastric region since 1month associated with dry cough and headache.  H/o abdominal tightness.  No H/o fever. H/o decreased appetite since 4years. H/o backpain & Metacarpophalangeal (MCP) joint aggregating on work.  HISTORY OF PAST ILLNESS :- No H/o similar complaints in the past.  H/o medication ta