M.Rambabu

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 patients clinical problems with collective current best evidence based inputs. This e-log book also reflects my patient centered online learning portfolio and your valuable inputs on comment box is welcome . A 13 year old female came to OPD with complaints of abdominal pain since 2 days associated with two episodes of vomitings. PRESENT HISTORY:  Patient was apparently asymptomatic 2 days ago then develop epigastric pain on radiating moderate severity and gradually progressive, non radiating 2 episodes of vomiting since 2 days with food as content . PAST HISTORY :  K/C/O OF sickle cell anaemia since 9 yrs  History of sickle cell crisis 5 yrs ago History of pancreatitis 2 yrs ago Last

1. Define heart failure ,etiology and clinical features of heart failure how do we diagonise heart failure clinically .physical examination and various modalities used in diagonsis of heart failure .write a brief note on treatment  2.define cirrhosis of liver etiopathogensis of cirrhosis. Write a note on clinical features diagnosis and treatment of cirrhosis.   3. Elobarate on clinical features and diagnostic modalities in diagonising renal caliculi.  4. Etiology and diagnostic criteria of plural effusion.  5. Diagnosis and treatment of dengue fever  6. Clinical features and diagnosis of peptic ulcer disease .  7 . Treatment of acute pylonephritis  9. Etiology and treatment of pneumonia   10.complications of dialysis 11. Ascitic fluid

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 patients clinical problems with collective current best evidence based inputs. This e-log book also reflects my patient centered online learning portfolio and your valuable inputs on comment box is welcome . A 38 yr old female patient  presented to OPD with cheif complaint of shortness of breath since one month.  HISTORY OF PRESENT ILLNESS :  patient was asymptomatic 1 month back when she developed difficulty in breathing during mid sleep .  Patient used to wake up at 6am  in the morning  and complete her brushing and she used to have tiffin and later she used to sit in the shop infornt of house .   She was taken to the hospital that night when she developed SOB . doctor digonsed it