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 pain in abdomen since 4days. Abdominal distension since 4days.  Decreased urine output since 4days.  HISTORY OF PRESENT ILLNESS :- Patient was apparently asymptomatic 4days ago then he developed pain in abdomen (upper abdominal region).H/O distension of abdomen since 4days.  No H/O fever, vomiting, nausea,constipation.  H/O last alcohol intake 5days back.  HISTORY OF PAST ILLNESS :- No K/C/O Hypertension, Diabetes, coronary artery disease.  TREATMENT HISTORY:- No previous treatment history.  PERSONAL HISTORY:- Married Appetite-normal  Diet- Non veg Bowels- regular  Micturition- normal 

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 blisters over both foot since 2years back.  Pain in abdomen and constipation since 1year.  Pain on either side of the jaw since 6 months.  HISTORY OF PRESENT ILLNESS :- Patient was asymptomatic 7 years back and then he developed pain in the abdomen and epigastric burning sensation, for which he visited to local hospital and was diagnosed to be having diabetes and followed by which he developed papules over the foot ,which lead to blisters and hyperpigmentation of skin,on the skin of tibia of both limbs 2 years ago, not associated with itching.   Patient had pain while eating since 6 mo

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 since 10days C/O headache  since 10days C/O body pains  since 10days C/O cough  since 10days. HISTORY OF PRESENT ILLNESS :- Patient was asymptomatic 10days back and then she developed fever which is high grade, associated with chills and rigors.  Dry cough since 10days.  Neckpain and headache which is diffuse in nature since 10days.  Decreased appetite and Burning micturition since 4days.  HISTORY OF PAST ILLNESS :- N/K/C/O diabetes, Hypertension, Tuberculosis, epilepsy, Asthma, CHD.   TREATMENT HISTORY:- No previous treatment history.  PERSONAL HISTORY:- Married  Occupation-farm