Nikitha Reddy

 CASE 1: 55 year old male patient came with the complaints of  Chest pain since 3 days Abdominal distension since 3 days Abdominal pain since 3 days and decreased urine output since 3days and not passed stools since 3days  https://sreejaboga.blogspot.com/2020/11/is-online-e-log-book-to-discuss-our.html?m=1 1.Anatomical locations and etiological possibilities: A.Pancreas:acute severe pancreatitis secondary to gall stones B.Kidney:Acute kidney injury secondary to pancreatitis C.lungs:Right pleural effusion secondary to acute severe pancreatitis Pleuropulmonary abnormalities are commonly associated with pancreatitis, respiratory dysfunction is rarely seen at the time of presentation to Emergency department (ED) but usually develops after fluid resuscitation. It manifests as acute lung injury or acute respiratory distress syndrome. It is one of the major components of multiple organ system dysfunction syndromes. Other manifestations are bilateral infiltrates, pleural effusion, pulmonary h

 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 is welcome. A 60yr old male pt , farmer by occupation came to the op with c/o intermittent cough with sputum since 6months c/o Abdominal distension since 20days c/o bilateral swelling of lower limbs since 15days c/o shortness of breath since 15days c/o indigestion since 15days Pt was apparently asymptomatic 6months ago, then he developed cough with sputum, intermittent in nature ,sputum small in quantity, non foul smelling , non blood tinged, associated with wheeze at night time. c