BUTTI SONALI

 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. A 38 years old male patient came to opd with cheif complaint of pain in abdomen since 4 days  Patient was associated with nausea and vomiting since one Week He started consuming alochol(toddy)90ml once in three to four days  History of present illness: Patient is apparently Normal 4 years back . two years back patient has visited local hospital with complaint of pain in abdomen and he was admitted in hospital for alocholic liver diseases and got discharged   Patient again started consuming alcohol for three months and had a similar complaints and got admitted in hospital   Ten days back patient has alcohol binge presen

 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. A 54 year old male patient who's labour by occupation came to casualty with chief complaint of SOB since 4 months and its increased since 4 days. K/c/o  orthopnea. K/c/o PND( Paroxysmal nocturnal dysopnea) History of present illness: Patient was apparently asymptomatic 15 years back and then he found to have hypertension on his regular checkup 8 years ago.  H/o CVA involving left upper and lower limbs weakness and deviation of mouth to left and that's resolved after 1 month. 5 years ago he diagnosed with DM ,but on IRREGULAR MEDICATION. In March,with pedal edema patient came to hospital and he was told to have H

 1) Anatomical and etiologic location of Hemiparesis and further management? 2) Etiology, Pathogenesis, clinical features management complications of acute pancreatitis? 3) Dengue Fever clinical features and complications? 4)Cushing Syndrome? 5) Mandibular advancement device? 6) Cardiogenic Pulmonary Edema? 7)Rhumatoid Arthritis?               8) Leptospirosis? 9)Heart failure? 10) Ascites? 11)Pyrexia of unknown origin? 12)Drug induced Liver injury? 13) Evaluation of Lower back ache? A: 14)Renal artery stenosis? 15) Acute kidney Injury? 16)Oral hypoglycemic agent? 17) Micro and Macro vascular complications of diabetes? A: 18)Lights criteria? A: 19) Metabolic acidosis? 20) Iron deficiency anemia?