NIKHIL SAI KARNATI ROLL NO 69

       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 A SERIES OF INPUTS FROM THE AVAILABLE GLOBAL ONLINE COMMUNITY OF EXPERTS WITH AN AIM TO SOLVE THOSE CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE-BASED INPUT                       CASE REPORT:- A 25 year old male patient who is driver by occupation came with the  CHIEF COMPLAINTS:-  Pain and Redspots on the tips, pulp and nailbed of fingers (Rt hand) since 4 days in 2 fingers prominently  HISTORY OF PRESENT ILLNESS:- The patient was apparently asymptomatic  4 years back then he developed  dry cough for 12 days which did not subsided on taking medication and all regular investigations are done which found that he had proteinuria and sputum test was done and it was found to be negative and he lossed weight of 6 kgs (51-45) and from 4 years he is 45 kgs. Then

             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 A SERIES OF INPUTS FROM THE AVAILABLE GLOBAL ONLINE COMMUNITY OF EXPERTS WITH AN AIM TO SOLVE THOSE CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE-BASED INPUT              CASE REPORT:- A 45 old male patient who was born on 10 th Feb 1973 who is a waiter by occupation presented to the OPD with the  CHIEF COMPLAINTS:- Bloating in stomach in the morning since 7 years . Burning micturition since 5 years.  Pain from loin to toes from past 7 months.  HISTORY OF PRESENT ILLNESS:- He was apparently asymptomatic  7 years back  Then he developed bloating in the stomach which gradually decreased as the day progresses.No aggravating and relieving factors. Bloating did not relieved on defecation.There was no history of constipation, diarrhoea, fever , nausea and

 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 A SERIES OF INPUTS FROM THE AVAILABLE GLOBAL ONLINE COMMUNITY OF EXPERTS WITH AN AIM TO SOLVE THOSE CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE-BASED INPUT            CASE REPORT:- A 50-year-old female patient who is a Housewife came to the casualty with a  CHIEF COMPLAINTS:- Vomiting for 2 days(10-12 episodes) Abnormal menstrual bleeding since 1 1/2 year HISTORY OF PRESENT ILLNESS:- She  was apparently asymptomatic then she got diagnosed with DM type 2 13 years back  Before 13 years due to loss of consciousness, she went to a hospital where regular investigations are done to find her DM type 2. For which she is under regular oral medication since then GLIMIPERIDE M2  18 months back she developed heavy menstrual bleeding associated with clots for which she has