1601006008

 1601006008 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. Case:A 46yr old female,housewife resident of Nalgonda came to hospital with chief complaints of shortness of breath since 5days  History of present illness   She was apparently asymptomatic 5days back then she developed shortness of breath which was insidious in onset ,gradually progressive,aggravated on lying down and relieved on medication. Associated with orthopnea,wheeze,paroxysmal nocturnal dyspnea  Anasarca since 5days and cough with expectoration since 5days which is insidious in onset

Hallticket no 1601006008   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. Case -A 50yr old female ,farmer by occupation resident of suryapet came with chief complaints of weakness of left upper and lower limb since 3days History of present illness -patient was apparently asymptomatic 3 days ago and then she developed sudden onset of weakness is her left upper and lower limbs  which was recovering ,followed by fall with no history of trauma There is slurring of speech and deviation of mouth to right side No h/o bowel and bladder abnormalities,swallowin