13. B.Harika

  30 year old female with ENL February 04, 2022 Chief complaint :-  30 year old female came to casuality with c/o painful lesions along the body since 1 year HOPI :-  Patient was apparently asymptomatic 1year back then she observed pain initially over skin of left leg following which she noticed a small nodular lesion initially small with reddish discoloration but progressively grown and felt localized rise in temperature which over days healed with hyperpigmented rashes. Intially she used ayurvedic medicine for few months even then the lesions didnot subside completely. 6 months back she doveloped similar non itchy lesions over both hands extending proximally and healed with hyperpigmented rash. Pain-Nodules-burning sensation-heals with hyperpigmentation. PAST HISTORY-Since 8 months she doveloped similar lesions on face and from 1 and half to 2 months she doveloped similar lesions on ears etc currently not healed. N/K/C/O DM, HTN, TB, ASTHAMA PERSONAL HISTORY- Mixed diet appetite -nor

2. Define cirrhosis of liver. Etiopathogenesis of cirrhosis. Write a brief note of clinical features, diagnosis and treatmentof cirrhosis of liver. 4. Etiology of pleural effusion. Diagnostic criteria of pleural effusion.  5. Diagnosis and treatment of Dengue fever.  6. Clinical features and diagnosis Peptic ulcer disease.  9. Etiology and treatment of pneumonia.  10. Complications of dialysis  11. Ascitic fluid analysis.  14. Treatment of urinary tract infection. 15.Differential diagnosis of fever with rash . 16.Insulin therapy in diabetes mellitus.  17.Antihypertensive drugs in chronic Renal failure.  18. Types of intracranial hemorrhage.

This is an online e log book to discuss our patient's de-identified health data 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.  CASE :  Date of admission- December 17, 2021 A 29 yes old male patient came with chief complaints of pain in abdomen since 4 months with frequent vomiting. H/o present illness- Patient was apparently asymptomatic 4 months back and then he had a burning type of pain in abdomen(epigastrium) radiating to the chest and then with frequent vomitings, 2-3 times per day after taking meals. He had a burning micturition and while passing stools. So whenever he had a pain he takes tablet pan 40mg medicine and feels relief. Does he diagnosed to have ( ? Gastritis ). In 2016 patient visited to hospital with similar complai

  54 yrs old male patient with acute kidney injury secondary to left lower limb cellulitis December 05, 2021 54 years old male patient came with chief complaints of shortness of breath and left lower limb swelling since 5 days . H/o present illness:- Patient was apparently asymptomatic 5 days back and then he had a injury to his left leg followed by itching of leg and developed left lower limb swelling associated with shortness of breath ( grade II- III) according to NYHA  classification. No history of chest pain/palpitations. No history of chronic cough/hemoptysis In 2016 patient went to hospital  due to pedal edema where patient had ischemic encephalopathy followed by 4 sessions of dialysis was done and discharged not as any medications after that. Past history:- Patient is not a k/c/o Dm, asthma, epilepsy hypertension. Personal history: Diet-mixed  Appetite-decreased Bowel and bladder movements-regular Daily alcohol consumer 5 years back,stopped 5 years back and recently he had 100