147 VISWANATH GARUDADHRI

 This is an online E logbook to discuss our patients' 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 the available global online community of experts intending to solve those patients clinical problems with the collective current best evidence-based inputs. This e-log book also reflects my patient-centred online learning portfolio and your valuable inputs on the comment box are welcome. A 27yr old male patient resident of Nalgonda came with  CHIEF COMPLAINTS- C/o loss of appetite since 20 days C/o blood in urine since 10 days and C/o pedal edema since 10 days HISTORY OF PRESENT ILLNESS- Patient was apparently asymptomatic 20 days back then he had loss of appetite for which he went to the hospital and was diagnosed as CLD spleenomegaly and portal hypertension for which he  took medication after which he developed haematuria since 10 days and pedal oedema

 This is an online E logbook to discuss our patients' 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 the available global online community of experts intending to solve those patients clinical problems with the collective current best evidence-based inputs. This e-log book also reflects my patient-centred online learning portfolio and your valuable inputs on the comment box are welcome A 40 year old female patient resident of Nalgonda, came to the General Medicine OPD with- CHIEF COMPLAINTS: C/o giddiness since 2 days C/o generalized weakness since 2 days C/o chest tightness and abdominal discomfort since 1 day HISTORY OF PRESENT ILLNESS: The patient was apparently asymptomatic 2 days back and then she started feeling weak and was not able to perform her daily tasks as she used to do before, and C/o: 1 day back, she felt giddy and weak in the morning wh