Shailesh Patil

 This is an online e-log book to discuss our patient's de-identified health data shared after taking his/her/guardian's informed consent. Here we discuss our individual patient's problems through a series of inputs from an 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-related online learning portfolio and your valuable inputs on the comment box.  Consent and de-identification: The patient and the attenders have been adequately informed about this documentation and privacy of the patient is being conserved entirely. No identifiers shall be revealed throughout this piece of work.  60 year old female , ex farmer presented to casuality with c/o * Pedal edema since 2 months *Decreased urine output since 2 months HISTORY OF PRESENTING ILLNESS Patient is ex farmer by occupation , was apparently asymptomatic 2 months ago .  Patient w

 This is an online e-log book to discuss our patient's de-identified health data shared after taking his/her/guardian's informed consent. Here we discuss our individual patient's problems through a series of inputs from an 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-related online learning portfolio and your valuable inputs on the comment box.  Consent and de-identification: The patient and the attenders have been adequately informed about this documentation and privacy of the patient is being conserved entirely. No identifiers shall be revealed throughout this piece of work.  20 year old female who is a student came to casuality with c/o - * Pain abdomen since 2 days * Vomitings since 2 days * Hypopigmentated lesions over face since 4 months HISTORY OF PRESENTING ILLNESS Patient was apparently asymptomatic 2 days back, the

 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 box . Long case :   70 year old male who is a resident of Nalgonda who is survived with two kids caste to the casualty with complaints of :  1. Weakness of right upper limb and lower limb since 6 months  2. Slurring of speech since 6 months  2006: Patient was apparently asymptomatic 25 years back then he observed right lower limb weakness for which he was given home remedies and was subsided by 2 months was able to go to work by 2months   2013 : Patient had met with an RTA and sustained