D Srinikhil Rollno 2k17-39

  This E-blog also reflects my patient's centred online learning portfolio.  A 30 year old female completed her degree final year came with  Cheif complaints of :  fever since 2 month’s and  cough with sputum since 15 days. HOPI: Patient was apparantly assymptomatic 2 months back and then she developed fever which was insidious in onset,high grade and not associated with chills and rigors and relieved on taking medication and again after one week she again developed fever which is of high grade and 15days back patient developed cough associated with sputum.And her sputum is scanty in amount,white in colour,no blood in sputum and non foul smelling sputum.And patient developed shortness of breath which is present only at nights not disturbing her sleep and she had known about it after her attenders noticed it.SOB at nights only since15 days which is on and off and 15days back diagonosed to be having pericardial effusion. No loss of Apetite,No weight loss in last 2 months. Not a known

  This is an online e log book to discuss our patient de-identified 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 problem with collective current best evident based input. This E blog also reflects my patient centered online learning portfolio and your valuable inputs on the comment box is welcome. A 60year old female came to the opd with the  CHIEF COMPLIANT: cough with sputum since 10days breathlessness since 10days HOPI: patient was apparently asymptomatic 10days back T hen she has developed cough with expectoration which is insidious in onset, gradually progressive and associated with whitish colour, mucoid,non foul smelling,non blood stained  Aggravates on lying on left side and during night times   Breathless of grade 2 mmrc(i.e walk slower than other people of same age due to shor