G.VAMSI KRISHNA

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. Here is a case i have seen: A 45 year old man, working as an auto rickshaw driver, presented with a 10 day history of worsening breathlessness and generalised edema.  The patient's first recall of medical problems began well over an year ago, when he first noticed an indolent breathlessness, which he felt was unusual to his daily activity - auto rickshaw driving. He remembers that his breathlessness was associated with heavy palpitations and mild sweating.The patien...

A 52 yr old male from bhuvanagiri , carpenter by occupation came to casualty with c/o sob & decreased urine output from one day. Patient was apparently asymptomatic 15 yrs back when he had an episode of giddiness, profuse sweating and altered sensorium at midnight for which he was taken to a hospital where he was diagnosed with type 2 DM and heart failure. Angiogram was done and symptomatic treatment was given. Patient was alright with those medications until last month when he developed anasarca , SOB and giddiness for which he visited a local hospital and from there he was referred to our hospital. Here he was diagnosed with dilated cardiomyopathy secondary to ?cad , HFrEF , type 2 cardiorenal syndrome,dm+,htn + ,diabetic neuropathy and drug induced hypoglycemia. Symptomatic treatment was given He was alright with those medications until 3 days back when he developed sob & decreased urine output from one day. Sob gradual in onset ,progressive,he wakes up 3 hrs after sleep wit...

  NagaJyothi 65 YEAR OLD MALE PATIENT WITH FEVER ,COUGH, SHORTNESS OF BREATH November 24, 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. Here is a case i have seen: 65 year old man presented with the complaints of  Reduced urine output since 1 year Dyspnea since 4 months   Fever since 1 month Cough since 1 month  Numbness in bilateral lower limbs since 20 days Bilateral lower limb swelling since 20 days  He has been working as a farmer at Borrayapalem at Nalgonda district. He has 4...