Chandana vishwanatham

 This is an online e log book to discuss our patient de-identified health data shared after taking his / her / guardians signed informed consent. Here we discuss our individual patients problems through series of inputs from available global online community of experts with an aim to solve those patients clinical problem with collective current best evident based input.  This E-LOG was done under the guidance of Dr. Madhumitha  CHIEF COMPLAINT:  CHIEF COMPLAINT:   A 31 year old male, a photographer by occupation  came to the opd with chief complaints of  • Abdominal pain and distension since 3 days  • Pedal edema extending upto knees since 3 days  • Fever  ,low grade since 4 days HISTORY OF PRESENT ILLNESS:  Patient was apparently asymptomatic 1 year back then he had pain in abdomen,in the right upper quadrant, nit associated with vomitings.  Patient complains of Loss of appetite, anorexia,  . weight loss ,malaise , fatigue and generalised weakness  since one year .  He stopped drinkin

 BIMONTHLY EXAM AUGUST 1) REVIEW  https://2018-21batchpgy3gmpracticals.blogspot.com/2021/08/18100006003-case-presentations.html?m=1 LONG CASE :  A 44 year old man presented with a 3-day history of bilaterally symmetrical rapidly progressive generalized edema. *evolution of symptomatology is well described in the illness . * Proper past ,personal ,family ,surgical ,medical and immunization histories are provided. * Differential diagnosis for the conditions he's been in are given .  *classification criteria for rheumatoid arthritis is provided which gives us idea in which category patient is in based on points . *The possible scenarios that can be are described in brief . *Diagnostic approach is mentioned. *After final diagnosis , further plan of treatment is given clearly. SHORT CASE :  A 49 year old English and Telugu language lecturer presented with a 2 month history of progressive asymmetric involuntary movements of his right index and middle fingers. *Present illness is describe