Bindhusravya2021

 Final practical examination-short case February 08, 2022 FINAL PRACTICAL EXAMINATION-SHORT CASE Feb 8,2022  "This is an online E log book to discuss our patient's de-identified health data shared after taking his / her guardians signed informed consent. Here we discuss our individual patient's problems through a series of inputs from available global online community of experts with an aim to solve those patients clinical problems with collective current best evidence based inputs .This E log book reflects my patient centered online leading portfolio and your inputs on the comment box is welcomed." CHIEF COMPLAINTS: A 50 year male farmer ,manual labourer,brought to casualty with h/o altered sensorium since 1 day H/o fever since 4 days. HISTORY OF PRESENTING ILLNESS - Patient was apparently asymptomatic 4 days ago,then he developed fever which is high grade,No diurnal variation, associated with chills. No h/o cough and GE symptoms.  Attenders tells h/o stoppage of o

 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" 35 year old male came to our hospital on 1/02/2022 with chief complaints of upper abdomen pain since one week,fever since one week ,backpain since 4 days. Patient was apparently asymptomatic 20 days back ,then he observed yellowish discolouration of eyes and got admitted to near by hospital,later 1week back he developed pain abdomen which was insidious in onset, gradually progressive. Pain in right hypochondrium and gastric region which is aggrevated on sleeping during night a