ANKIT PACHIPULUSU ROLL NO 13

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. 80 year old female presented with  Increase in Shortness of breath since 3 days  Bilateral pedal edema since 3 days Generalized weakness since 20 days  History of fall 20 days back  Patient was apparently asymptomatic 25 days back then she suffered trauma due to slipping in the bathroom, she fell in sitting position and complained of left hip pain.  She could walk normally for the next 4 days but later complained of left sided hip pain and was confined to her bed.  She developed of

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 CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE BASED INPUT." 34 year old female  ,homemaker  by occupation comes to casualty with complaint of fever ,shortness of breath and dry cough  ,loss of appetite since 7 days. Chief  complaint high grade fever and cough with yellow colored  sputum since 5 days bilateral pedal edema (pitting type) since 5 days difficulty in breathing even at rest  (grade 4) since 5 days Generalized weakness since 5 days History of presenting illness The patient was apparently asymptomatic 1 yr back when she developed b/l knee joint pain and itching in upper aspect of chest and neck.The pain was insidious in onset and gradually progressive a