EMANY MANI CHANDANA ROLL NO. 42

A 60 year old male came to casuality with C/o Cough, cold since 3 days         Chest pain since 1 day         Fever since 1 day HOPI Patient was apparently asymptomatic 3 days ago then he developed cough with sputum, scanty in quantity, green in color associated with cold and nasal blockage H/o Fever, low grade, continuous non aggravating and no relieving factors No h/o rash, retroorbital pain, arthralgia C/o chest pain, diffuse, squeezing type associated and aggrevating with cough, non relieving  No h/o abdominal pain, vomiting, diarrhea  No h/o seizures, tremors Past history : K/c/o DM, HTN since 10 years and on unkown medication  N/k/c/o Asthma, CAD, CVA, Thyroid disorders, Epilepsy General examination  Pt is C/C/C No Pallor, Icterus, Cyanosis, Lymphadenopathy, Edema Vitals Temperature - 100.8°F PR - 104 bpm BP - 110/70 mmHg RR - 22 cpm SpO2 - 93 @ 4L O2 GRBS - 301 mg% Systemic Examination CVS - S1,S2 heard RS - BAE present  CNS - NFND P/A - Soft, Non tender Investigations on admiss

 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. This E blog also reflects my patient centered online learning portfolio and your valuable inputs on the comment box is welcome. A 28 year came to OPD with C/o Abdominal distention since 10 days        Abdominal discomfort since 10 days History of Presenting illness  Patient was apparently asymptomatic 10 days ago then he developed Abdominal discomfort and distention of abdomen for which he visited a primary health care centre near his residence where he was adviced to get an Xray of Abdomen for which he visited our Institution. Abdominal distention was insidious in onset and gradually progressed to current size  Patient