82 U. Ramya

  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  February 1 2022 ( date of admission) A 13 year old female came to OPD with complaints of abdominal pain since 2 days associated with two episodes of vomitings HISTORY OF PRESENTING ILLNESS - Patient was apparently asymptomatic 2 days ago then she developed epigastric pain which is severe and radiating ,gradually progressive, 2 episodes of vomiting since 2 days with food as content . PAST HISTORY -  K/C/O sickle cell anaemia since 2012   History of bronchopneumonia History of sickle cell crisis 2016 Hitory of pancreatitis 2019 Last blood transfusion 2020 PERSONAL HISTORY : DIET - MIXED, APPETITE -NORMAL , BO

  A 30 year old male patient with upper abdomen pain, fever,back pain "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 patients 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 comment box is welcome." Case history Chief complaint 35 year old male came to the opd on 1/02/2022 with chief complaints of upper abdomen pain since one week,fever since one week ,backpain since 4 days. History of present illness: Patient was apparently asymptomatic 20 days back ,then he observed yellowish discolouration of eyes and got admitted to near by hospital and diagnosed as jaundice after investigations and taken me