SHIVANG SHARMA ROLL NO 145

 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" 25 YR OLD MALE WITH CHEST PAIN, VOMITINGS AND SOB  25/M painter by occupation who was apparently asymptomatic 9 years back, Patient c/o blurring of vision for which he went to local hospital used medication but his blurring of vision(Rt>>Lt) wasn't subsided  In 2014 patient c/o severe weight loss approximately 10-12 kgs over a duration of 2 months. And having increased apetite, increased frequency of urination with these complaints he went to Local hospital and diagn

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" 48 Yr old male , mason by occupation  and resident of Nakrekal, came to OPD with cheif complaints of - Shortness of breath since 1 week                           - Decreased urine output since 1 week HISTORY OF PRESENT ILLNESS Patient was apparently asymptomatic 1week back .Then he developed shortness of breath during climbing stares and even walking at normal pace ( grade 2) , which gradually prdiet ogressed even at rest and last one week ( grade 4) .   It was aggravated by do