General medicine Case

 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 CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE BASED INPUT  CHEIF COMPLAINTS A 65 YEAR OLD MALE TODDY TREE CLIMBER BY OCCUPATION CAME WITH C/O ANURIA BEFORE 4DAYs SOB GRADE -2-3 HOPI PATIENT WAS APPARENTLY ASYMPTOMATIC 15 YEARS BACK , PATIENT SUDDENLY FELL FROM TODDY TREE WHILE CLIMBING HAD HISTORY OF FRACTURE OF FEMUR WHICH ORIF WAS DONE .  AGAIN 10 YEARS BACK PATIENT HAD C/O FALL DUE TO GIDDINESS , DIAGNOSED WITH HYPERTENSION AND SINCE THEN ON REGULAR MEDICATION Patient Has Got Flexion Fixed Deformities 7 Year Back . Stays In Home and stopped Climbing Toddy Trees . Then after 5 years he had h/o fall ,had #tibia, no treatment was done From then he was unable to walk

 

  This is an online e logbook to discuss our patients deidentified health data shared after taking her/guardian's signed informed consent Here we discuss our individual patient problems through 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 also reflects my patient centre’s online learning portfolio and valuable inputs on the comment box is welcome. 20years old male  presented to the OPD with chief complaints of  1, Vomitings-1/2episodes/day since 2months 2,shortness of breath since 2months 3, generalised weekends since-2months 4,low grade fever since 40days History Of Present Illnesses  Patient was apparently asymptomatic 2months back den he had onset of vomiting:-1/2episode per day   since then he felt week  Then he had grade 4 SOB   he also has low grade fever associated with neck pain Then he observed pale yellowish discoloration of  hands,eyes