NEELI SRIKANTH 105

CHIEF COMPLAINT : A 42 year old male patient came to casuality with chief complaints of bilateral lower limb swelling  (left>right) since 15 days,  and shortness of breath since 2 days. HISTORY OF PRESENTING ILLNESS : •Patient was apparently asymptomatic 15 days later he noticed bilateral lower limb swelling which was insidious in onset gradually progressing pitting type ( left more than right ) extending up to the knees. h/o of breathlessness since 2 days which is Grade 2 initially progressed to Grade 3-4 associated with orthopnea & PND. No h/o cough, chest pain. No h/o pain abdomen, vomiting, loose stools. No h/o decreased urine output/ burning micturition and no other complaints. No palpitations No h/o syncopal attacks No h/o wheeze hemoptysis No h/o abdominal distension, fever, weightloss. HISTORY OF PAST ILLNESS : No similar complaints in the past. No h/o DM , HTN ,ASTHMA, CVD, Epilepsy. PERSONAL HISTORY : Diet – Mixed Appetite – Decreased Sleep – Decreased Bladder &

1801006111 SHORT CASE  This is 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 patients clinical problms with collective current best evidence based inputs. This e-log book also reflects my patient centered online learning portfolio and your valuable inputs on comment box is welcome . Case discussion. A 56 year old female came with c/o pain abdome since 10days fever and generalised weaknesses since 2days.  HISTORY OF PRESENTING ILLNESS : Patient was apparently alright 10 days back later she developed abdominal pain which was sudden in onset and rapid  progressive. The pain was of a dull and persistent type radiating to the right shoulder and back. There were no aggregating and relieving factors. then she had fever for 3 days which is low grade, interm