SHIVANI IRAGAMREDDY ROLL NO 146

This is an online e log book to discuss our patient de-identified health data shared after taking his / her / guardians signed informed consent. Here we discuss our individual patients problems through series of inputs from available global online community of experts with an aim to solve those patients clinical problem with collective current best evident based input. A 65 year old male resident of Choutuppal, Potter by occupation came to casualty with  decreased output and giddiness since 3 days and vomitings since 2 days  HISTORY OF PRESENT ILLNESS: Patient was apparently asymptomatic 6 years back and then he developed body pains for which he went to local RMP and was on painkillers since then. 3 years ago on regular check up he was diagnosed with hypertension and is on medication since then. 1 year ago patient was diagnosed with diabetes mellitus and was on regular medication since then. 3 days ago the patient complains of decreased urine output, associated with burning micturition

This is an online e log book to discuss our patient de-identified health data shared after taking his / her / guardians signed informed consent. Here we discuss our individual patients problems through series of inputs from available global online community of experts with an aim to solve those patients clinical problem with collective current best evident based input. A 17 year old female, resident of Motkur studying in intermediate and staying in hostel came with the chief complaints of  Vomitings since 1 week Loose stools since 1 week HISTORY OF PRESENT ILLNESS: Patient was apparently asymptomatic 1 week back, then she developed loose stools and vomitings. Loose stools were 5episodes per day, water in consistency, non foul smelling, no blood tinged. Vomitings were 4-5 episodes per day, non projectile, non bilious, contents include food particles. The vomitings were associated with nausea and stomach pain. No history of outside food, fever. 10years back,patient's mother observed

Internal assessment Q1) Infective Endocarditis  Q2) ARDS