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A 80 yr old male with FEVER and BURNING MICTURITION

80 year old male patient came with the complaints of fever and chills since 8 days  Decreased appetite, generalised weakness and burning micturition since 5 days HOPI: Pt was apparently asymptomatic 8 days back then he c/o fever a/w chills , intermittent without any diurnal variation No H/O vomitings or loose stools,cough,cold,SOB,rashes H/O scrotal swelling( hydrocoele) since childhood  H/O difficulty in passing micturition ?BPH  ?TURP done 1 year back(no records) H/O DM since 5 years on Tab.glimipiride 5mg and Tab.metformin 500mg H/O hypertension since 2 years on tab atenolol 50mg Personal history: Diet: mixed Appetite: decreased Sleep: decreased bowel movements: irregular addictions: tobacco smoking  burning micturition present S: General examination: Pt is C/C/C BP: 130/80 mmHg PR: 74 bpm Temp : 98.6F GRBS : 170mg/dl  Pt has icterus no pallor,  cyanosis, clubbing, lymphadenopathy, pedal oedema Physical examination: CVS:S1S2 +NO MURMURS  RS :BAE +, NVBS  P/A- soft, NT CNS-NFD Invest
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A case of 65 yr old female with ASCITIS SECONDARY TO PANCREATITIS

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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 Pt came with C/O of abdominal distension since 6 days And SOB since 6 days  Pt was apparently asymptomatic 20 days back then developed fever and decreased urine output for 5 days for which went to local hospital and got treated ,fever subsided and then was asymptomatic for 4 days following which she developed abdominal distension over 5 days associated with secreased urine output  then went to local hsptl her creat was 4.6 she was kept under foleys following which urine was passed  a
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A case of 48 yr old male with UNCONTROLLED SUGARs n FEVER UNDER EVALUATION

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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 A 48 yr old male  welder by occupation came with complaints of  FEVER since 4 days C/O chest pain since 5 days  Pt was apparently asympyomatic 4 days back then developed fever ,intermittent,associated with chills and rigors ,no burning micturition Chest pain on n off ,non radiating Pt was k/C/o DM since 4 yrs on inj Mixtard Pt was havi g complaints of weight loss, fever 4 yrs ago and diagnosed with pulmonary kochs and used ATT for 6 months After using ATT for 2 months pt had 1 episod
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A case of 31 yr old male with CLD and PORTAL HYPERTENSION

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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 Yellowish discolouration of sclera since 4 days Indigestion and tightness of abdomen since 4 days Pt was apparently asymptomatic 2 yrs back,then he developed pain abdomen for which he went to hospital and diagnosed with fatty liver relieved with medication 1 yr back pt developed pedal edema,jaundice and abdominal tightness and anasarca 3 times in a year for which he underwent paracentesis 3 times H/o jaundice 4 to 5 times in a span of 2 yrs H/o hemetemesis 4 to 5 times per day H/0 ma
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A 60 YR OLD MALE WITH ?CARDIOEMBOLIC STROKE

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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 PATIENT CAME WITH COMPLAINTS OF LOSS OF VISION SINCE YESTERDAY AFTERNOON COMPLAINTS DECREASED SPEECH SINCE YESTERDAY EVENING AND DECREASED POWER IN RIGHT UPPER LIMG AND DEVIATION OF MOUTH TO LEFT SIDE SINCE TODAY MORNING PATIENT WAS APPARENTLY ASYMPTOMATIC 1 WEEK BACK AND THEN DEVELOPED PAI  DIFFUSE IN NATURE FOR 1 WEEK AND SUBSIDED ON MEDICATION AND SINCE YESTERDAY AFTERNOON  DEVELOPED SUDDEN ONSET OF LOSS OF VISION AND AFTER 2 HRS DECREASED SPEECH SINCE FOR 2 HRS AND THEN COMPLETEL
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A 70 YR OLD MALE WITH LIVER ABSCESS

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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 patient came with complaints pain abdomen since 2 days Fever since 10 days And dribbling of urine since 10 days Patient was apparently asymptomatic 3 yrs back then he developed low grade fever for days following swelling for scrotum for 3 days insidious and then he went to surgeon ,for which intervention was done later he developed 1 week back insidious and low grade for initial 5 days for which he went local RMP ,fever was not relieved and fever increased from past days which is hig
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