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  This is an online E log book to discuss our patients deidentified health data shared after taking his/her/guardians signed informed consent. Here we discuss our individual patients 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 book also reflects my patient centered online learning portfolio and your valuable inputs on the comment box is welcome. CASE PRESENTATION: 21 year old female from Darjeeling   2018 march at 19 years of age she got married and  After 6 months : At 4 Months of amenorrhoea RTA ( abortion) 2019 june : NVD (baby girl) at 10 Months of amenorrhoea and all the trimesters were uneventfull.  Her presenting complaints in 2020 November: Complaints of fascial puffiness( noticed by a neighbour) followed by abdominal distension after 2 days followed by pedal edema after 2 days associated with forthiness of urine since 3 mo
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Assessment for the month of January

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  26 year old woman with complaints of altered sensorium somce 1 day,headache since 8 days,fever and vomitings since 4 days More here:  https://harikachindam7.blogspot.com/2020/12/26-year-old-female-with-complaints-of.html Case presentation  links:  https://youtu.be/fz9Jssoc-mA https://youtu.be/d4lLX04oL8 https://youtu.be/CSCxw2zp7Oc a). What is the problem representation of this patient and what is the anatomical localization for her current problem based on the clinical findings? problem: • headache 1 -2 times /week since 1 month and along with neck pain  • both hands small joint pain and later elbow and shoulder involved. she diagnosis as SLE •  she present to causality with altered sensorium and irrelavent talk  • history of vomittings and generalised weakness ,decreased appetite ,unable to walk  • history of low grade fever and joint pain  Anatomical location  : she has low grade fever,chronic headache along with neck pain and altered sensorium.....suggested may be problem in the 
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 This is an online E log book to discuss our patients deidentified health data shared after taking his/her/guardians signed informed consent. Here we discuss our individual patients 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 book also reflects my patient centered online learning portfolio and your valuable inputs on the comment box is welcome. CASE PRESENTATION: A 50 year old male patient resident of suryapet came with chief complaints of pain in right hypochondrium (colicky type )and vomitings from 10 days. Associated with on and off low grade fever associated with chills ,relived on medication. 3-4 episodes of vomitings per day. Which was bilious , non projectile and food particles as content. Taking treatment outside symptomatically in a local hospital from last 1 week and from there referred to our hospital. No H/o Headache,gi
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   This is an online E log book to discuss our patients deidentified health data shared after taking his/her/guardians signed informed consent. Here we discuss our individual patients 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 book also reflects my patient centered online learning portfolio and your valuable inputs on the comment box is welcome. CASE PRESENTATION: A 45 year old female from yadagaripalli farmer by occupation came with chief complaints of abdominal distention , pedal edema and SOB from 4 days. Patient was apparently asymptomatic 20 days back when she developed fever associated with chills & rigors and vomitings (2-3 episodes) for which she was taken to a local hospital. There on routine investigations she was diagnosed with Anemia , Thrombocytopenia and mild jaundice and was treated symptomatically. Mild relief
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Acute on chronic pancreatitis

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 This is an online E log book to discuss our patients deidentified health data shared after taking his/her/guardians signed informed consent. Here we discuss our individual patients 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 book also reflects my patient centered online learning portfolio and your valuable inputs on the comment box is welcome. CASE PRESENTATION: A 35 year old male patient chef by occupation came with chief complaints of 5 episodes of vomitings on 4-1-2021 morning followed by pain in left hypochondrium, lumbar region, and left chest. Vomitings : Non bilious , non blood stained , and food particles as contents. Pain in left hypochondrium and lumbar radiating to left chest and right side of abdomen which is dull aching type. No history of loose stools or constipation. No H/O fever , cold , cough. No H/O headache, loc
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