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72  year old female with complaints of  1. uncontrolled sugars since 3 days  2. decreased vision in right eye since 1 year  HISTORY OF PRESENTING ILLNESS: Patient was apparently asymptomatic 1 year ago, then she developed diminision of vision of right eye which was insidious in onset and gradually progressive for which she came to the hospital and was admitted for cataract surgery On routine investigations her GRBS was found to be high ( 279 mg/dl) Past history: N/K/C/O DM/HTN/ASTMA/THYROID/CAD Left eye operated for cataract 2 years ago  Personal history : Married   Appetite normal  Bowel and bladder regular No known allergies  No addictions  Family history: Not significant  On examination: Patient is conscious/coherent/ cooperative  No pallor /icterus/cyanosis/clubbing/lymphadenopathy  BP -120/90mmhg PR-78BPM RR-16CPM SPO2-98 ON RA GRBS-121 mg /dl on admission  Systemic examination: CVS - S1 S2 heard CNS- NAD RS- BAE + ,NVBS HEARD P/A - SOFT ,NON TENDER. Eye examination:              

This is an online E Logbook 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 a series of inputs from an available global online community of experts 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 in the comment box are welcome. —————————————————————————————————————————————- A 62 year old female patient was admitted into the medicine ward with chief complaints of   high blood sugars. HISTORY OF PRESENT ILLNESS: Patient initially came to ophthalmology OPD with the complaints of decreased vision since 7 months which was insidious in onset and gradually progressive and was subsequently admitted for cataract surgery. On routine investigations RBS was found to be 515 mg/dl and was referred to general medici

This is an online E Logbook 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 a series of inputs from an available global online community of experts 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 in the comment box are welcome. —————————————————————————————————————————————- 37 year old female a resident of Dugapally , housewife was brought to the casuality with complaints of  1. Neck pain since 4 days 2. Fever since 4 days 3. Body pains since 4 days 4. Altered sensorium since yesterday  HOPI: Patient  was apparently asymptomatic 4 days back then she had  neck pain which was insidious in onset and gradually progressive followed by burning of eyes then developed fever associated with chills and rigors d

  This is an online E Logbook 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 a series of inputs from an available global online community of experts 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 in the comment box are welcome. —————————————————————————————————————————————- 65 year old male patient, resident of chitratigudem, suryapet, farmer by occupation came to casuality with chief complaints of  1. Chest pain since 2 hours 2. Shortness of breath since 2 hours 3. Decreased urine output since morning  HISTORY OF PRESENT ILLNESS: Patient was apparently asymptotic 2 hours ago, then developed chest pain and shortness of breath after eating spicy food, having 30 ml of alcohol.  Pain was insidious in o

  This is an online E Logbook 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 a series of inputs from an available global online community of experts 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 in the comment box are welcome. —————————————————————————————————————————————- A 60 year old female, resident of Peddagudem, Nalgonda, Farmer (in cotton farm) by occupation, came to the casualty with complaints of  Fever since 6 days associated with chills and rigor. Melena since 2 days. HISTORY OF PRESENTING ILLNESS: Patient was apparently normal 6 days back, then she developed fever which was sudden in onset, no diurnal variation, associated with chills and rigor,  relieved on medication given by the loca