Chandana vishwanatham

 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 patient's 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 the comment box" 55year female patient, Patient was admitted for ACTH stimulation test on May 24 th 2022 15 years ago,she went for routine check up and diagnosed with HTN and started on medication. 9 years ago -she has h/o cough and diagnosed with pulmonary kochs used ATT for 6 months associated with joints pains . 8 years ago- she has h/o increased joint pains - polyarthritis - prescribed with steroids by local doctor and was adviced to taper and stop .But as she stopped using steroids ,the

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