Chandana vishwanatham

  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 is welcome  45 year old female currently working as ECG technician and previously worked also a tailor ,hailing from Nalgonda with the chief complaints of multiple joint pains and swellings since 17years HOPI: Patient was apparently asymptomatic 17years ago and then developed multiple joint pains,Started with left ankle severe pain and swelling,Gradually progressive ,involving multiple joints ,bilaterally symmetrical,involving ankle joints,knee,hips,shoulder ,elbows to currently involving wrist ,ankle pain still present .History of neck pain 5-6years ago subsided now,3days back history of pain during chewing on lateral cheek with

 Dr.VISHWANATHAM CHANDANA PRESENTATIONS,ACHIEVEMENTS ,PROCEDURAL COMPETENCIES with few clickable YouTube links : 1.  Presentation on Critical appraisal on Ethiopian study on nutritional anemia and basic approach to anemia 2.  My real experience with nutritional anemia 3. YouTube link:  Optimising clinical complexity in a 14/M with splenomegaly  Speaker notes-  https://chandanavishwanatham19.blogspot.com/2023/01/cme-speaker-notes.html 4.Clinical meet: 2year thesis project on pancreatic ascites patients: Presentation ppt:  https://1drv.ms/p/s!Ajc3tZ8oZGcoggvG0Dp3xink12zQ One app for all your Word, Excel, PowerPoint and PDF needs. Get the Office app: https://aka.ms/officeandroidshareinstall   Speaker notes: https://chandanavishwanatham19.blogspot.com/2023/01/cme-speaker-notes-pancreas.html   Working on a publication currently: Diagnostic uncertainties in patients with pancreatic ascites Publication Draft:  https://chandanavishwanatham19.blogspot.com/2023/02/pancreatic-ascites.html Picture

  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 is welcome CHIEF COMPLAINTS Abdominal distension since 3 months Shortness of breath since 3months Pedal edema since 3 days HISTORY OF PRESENTING ILLNESS Patient was apparently asymptomatic 4 months ago, then he developed yellowish discolouration of eyes ,intermittent and reappeared again since 4days not associated with itching,discolouration of urine or stool Abdominal distension  which was insidious in onset , gradually progressive in nature since 3months,not associated with pain abdomen. He complained of shortness of breath since 3months (grade 2) upon doing ordinary activity like walking to his field after eating.He used to wa