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 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 50y old male patient came to opd withc/o shortness of breath and fever since 5 days Patient was apparently asyptomatic 7 years back ,  later he had constipation and painful defecation ass. With blood streaks in stools on and off Later 5 yrs back he had shortness of breath (grade 2)associated with pedal edema (till ankle)on and off (hb-7.5g%) later  since 5 days he developed generalized weakness and shortness of breath.SOB(grade2-NYHA) was insidi

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 Case discussion: A 66Y old male patient resident of nalgonda came with chief complaints of fever since 15 days and pain in right iliac fossa since 10 days    Patient was apparently asymptomatic 8 months back then  he developed pain in right hypochindrium , he went to a private hospital where he got his USG abdomen done and diagnosed with cholelithiasis for which symptomatic management was done  He developed fever since 15days which is high grade, intermitent associated with chills and rigors which got relieved on medication(DOLO 650mg