SHIVANI IRAGAMREDDY ROLL NO 146

INTERNAL ASSESSMENT -2 1) RHEUMATOID ARTHRITIS 2) CHRONIC LIVER DISEASE

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 50 YEAR OLD FEMALE RESIDENT OF NALGONDA CAME FOR DIALYSIS  HISTORY OF PRESENTING ILLNESS: PATIENT WAS APPARENTLY ASYMPTOMATIC 4 MONTHS AGO THEN SHE DEVELOPED FEVER WHICH IS LOW GRADE CONTINOUS NOT ASSOCIATED WITH CHILLS AND RIGORS NOT RELIEVED WITH MEDICATIONS HISTORY OF LOSS OF WEIGHT SINCE 4 MONTHS  PATIENT WAS DIAGNOSED WITH CERVICAL CANCER STAGE3B AT OUTSIDE HOSPITAL IN OCTOBER ON 26TH H/O OF VOMITING[5-6 EPISODES] NON PROJECTILE NON BILIOUS FOOD AS CONTENT 20 DAYS AGO BURNING MICTURATION 20 DAYS AGO PAST HISTORY: K/C/O HYPERTENSION SINCE 2YEARS AND IS ON REGULAR MEDICATION NOT A KNOWN CASE OF DIABETES, EPILEPSY,