Kasu ajay reddy

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" 60 year old patient came to casualty with complaints of swelling of knee joint since 3 years  Unable to fold the legs since 5 years  Pain at knee radiating to the toe since 2 years  Bilateral Pedal edema since 3 years    Hopi : Patient was apparently asymptomatic 7 years back and then he developed Generalized weakness for which he went to near by hospital and had routine checkup and diagnosed with Type 2 DM and was started on diabetic medication since then .3 years

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" This is case of 60 year old male came to casualty with chief complaints : Patient c/o giddiness since 6days C/o headache since 6days Hopi: Patient was apparently sympatomatic 10 years back then he had stomach ache for which he was referred to our hospital. Then he was diagnosed with intestinal perforation and he was operated and discharged after 6 days.  4yrs back he fell in drainage pit and got ankle fracture. And he got nail plate operated and removed after 1 month 6 days bac

This is a case of 58 year old Male came to dermatology opd with chief complaints of itching and burning sensation all over body since 1 month on 12/05/22 HOPI :  Patient was apparently asymptomatic  1 month back  then presented with complaints of itching and burning sensation all over body  H/o fever and shivering since 1 month   H/o unknown skin lesions over right lower leg subsided on its own 1 month back . Past history : H/o snake bite ( non specific). H/o weight loss present  H/o Pedal edema (on and off) No other comorbidities  No h/o exposure  No h/o plant or sun exposure  Family history: No significant family history  Personal history: Bowel and bladder normal  Thin built  Moderately nourished  General examination : patient is conscious ,coherrent, co operative and well oriented to her surroundings. Built: Thin  Nourishment: good no pallor ,no cyanosis, no icterus, no clubbing. Right inguinal node palpable  Pedal edema: not present  Vitals :  Temp : afebrile BP : 120/70 mm hg  Pr