sindhu reddy beemidi

 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 is welcome. Case presentation: A 20 year old female came  with chief complaints of irregular cycles since 4 years ,pedal edema and abdominal distention since 2 months. HOPI : Pt was apparently asymptomatic 8years back then she developed regular menses for 1 month for year ,there after since 4 years back gradually developed irregular menses once for 6-7months and on consulting Doctor he prescribed medication (unknown),1cycled menses occurred and these irregularity continuing wit...

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 is welcome. Case presentation: A19 year old boy presented with pain abdomen since morning of 25th september HOPI : patient was apparently asymptomatic 1week back then he had 2 glasses of toddy and chicken on last Friday. After 2 days(on Sunday)he developed pain for the first time and had 1 episode of vomiting .He also had nausea.No H/O constipation,distension,jaundice ,diarrhoea. The pain spontaneously reduced for few days which is sudden onset,pricking type,proggesive in nature, a...