G.VAMSI KRISHNA

Case presentation: 35 year old male  labourer  by occupation who is the resident of  nalgonda    presented with pedal edema since 1 month and sob since yesterday Patient was apparently asymptomatic 1 month back later he developed pedal edema Which was gradual in onset  progressed to knee , associated with facial puffiness then he went to chityala and he has taken the medications which was prescribed by local doctor ,symptoms got relieved.  Then yesterday night he developed pedal edema associated  sob which was sudden in onset  No aggrevating and relieving factors  For which his wife fed 1 bread and milk and later he vomited. No h/o chestpain  No h/o palpitations Past h/o :  No similar complaints in past N/k/c/o DM , HTN ,ASTHMA ,CAD, EPILEPSY,TB Personal h/o : sleep adequate  Diet mixed  Decreased urine output since morning Addictions :  Patient started consuming alcohol since 17 yrs ( unadulterated tody and whiskey 180ml once in 15 days gradually increased to 360ml of whiskey in the s

  A 54 year old with chest pain October 11, 2020 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.  A 54 year old Toddy tree climber came to opd with chief complaints of  1. Swelling of both the legs since 15 days 2. chest pain since 10days  3. Facial puffiness since 10days 4. Difficulty in breathing since 7days Patient was apparently asymptomatic 15days back then he developed bilateral pitting type of pedal edema extending Upto knees. He had on and off symptoms of Chest discomfort and pain since 10days. He also develo

  28 year old male with pedal edema and SOB September 23, 2020  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:28 year old male who is a coal worker came with chief complaints of palpitations followed by SOB  since 1 week and pedal edema since 4 days. Apparently normal 1yr back, developed symptoms of neck pain and giddiness,so he consulted a local doctor and he was diagnosed with hypertension with bp-160/100mmhg for which he used the medications given by the doctor for two days and discontinued th

   25 year old woman with shortness of breath. September 06, 2020 Hello everyone.. I am Sai Niharika , an intern posted in medicine department and one of the important terms of getting the internship completion is to complete my log book with my online log of what I learn during the course of my duties. 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-centred online learning portfolio and your valuable inputs on the comment box is welcome Here is the case I have seen- A 25 yr old woman presented to our hospital at around 6pm with chief complaints of cracked nipples since 7 days. breathlessness and profuse sweating since 3 days, vomitings since morning. She was apparently well 7 days back,then had cracking of nipples a/w pain and profuse sweating and breathlessness sin