19 Lavanya

This is is an online E log book to discuss our patient's deidentified health data shared after taking his/her/guardian's signed in formed 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 protfolio and your valuable inputs on comment box is welcome. A 42 year old male patient resident of choutuppal came to the hospital with cheif complaints of pain abdomen since yesterday  and vomitings since today morning  History of present illness  Patient was apparently asymptomatic 1day back then he developed pain during night after taking meals initially pain is moderate at night then pain became severe at morning 4:00am after vomitings and brought to hospital  pain is in epigastric region which is sudden in onset gradually progre

A 65yr old male patient masion by occupation resident of nalgonda came to old with  Chief complaints  of -fever-4 days  -pain abdomen -4 days  -decreased urine output -6 days -burning micturition-6 days  History of present illness : Patient was apparently asymptomatic 1 week ago then he developed decreased urine output since 6 days which is insidious in onset and gradually progressive,he also developed abdominal pain in right side of the abdomen since 4 days which is insidious in onset gradually progressive, episodic and sharp type radiating from right upper quadrant to epigastric region which is associated with back pain ,no aggravating factora but relieved on medication. History of fever since 4 days which is low grade and intermittent. H/o burning micturition present Constipation since 6 months  History of past illness:  N/k/c/o diabetes, hypertension,asthma,tuberculosis ,epilepsy No past medical history Personal history: Diet : mixed Appetite:normal Sleep : adequate Bowel and bladd