159RohithReddy

  40year old female with facial puffiness 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 . Hall ticket: 1701006049  40 old female came  to OPD with chief complaints of : Abdominal Distension since 1 year  Facial puffiness since 1 year  Itching all over the body since 1 year and developed multiple plaques on abdomen and Lower limbs  Sob since 5 days pedal edema since 5 days pitting type H/O PRESENT ILLNESS Patient was apparently asymptomatic 1 year back then she developed abdominal distension, facial puffiness,itching all over the

  E-LOGS OF MEDICINE "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" HALLTICKET NO: 1701006049 A 53 year old female came with altered sensorium ,difficulty in walking ,loss of speech ,weakness of right upper limb and right lower limb. HOPI  : Patient was A known Case of Diabetes Since 11 Years and Hypertensive since 1 Year.   She developed Giddiness which later Resolved on the Next Day. RMP was called on and He prescribed Cinarizine and He also found that her BP was around 280 mmHg and gave Anti Hypertensive Drug(Telmisartan