Kasarabadha Sampath Roll no 71

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 .  C/o swelling of right lower limb since 5 days. HOPI Patient was appalently asymptomatic 5-6 days back, then he developed a small swelling over right lower limb near ankle  joint which he scratched and later swelling gradually increased.Associated with pain.On checking GRBS at presentation blood sugar levels found to be 542 mg/dl. No H/o fever,Nausea ,vomiting,Burning micturation. Past history: Known case of DM type 2 since 9 years on GLIMI M2 N/K/C/O HTN,CVA,CAD,TB,Epilept,Thyroid d

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 .  Patient came with c/o weakness of B/L lower limbs since 5 years  HOPI :  Patient was apparently asymptomatic 5 yrs back then he developed tingling sensation of B/L lower limbs. After that he had B/L lower limb weakness insidious in onset , gradually progressive. He has tingling sensation of B/L foot , he is able to wear slippers initially, but since 2 yrs he is unable to wear slippers. Not able to squat and stand from squatting position , but able to squat with support. Able to comb

 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 .  Chief complaints: HOPI: 4 Months back patient developed fever which is continuous , Low grade and Fever is associated with vomiting which is bilious type,foul smelling,food as content ,non blood stained ,2 to 3 episodes per day went to local hospital and found he is suffering Liver disease.They treated him and symptoms susbsided.  2 months back he developed bilateral lower limb swelling ,pitting type ,swelling present upto thighs and also developed Abdominal distension.History of s