https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4556923/
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26 year old female with complaints of altered sensorium somce 1 day,headache since 8 days,fever and vomitings since 4 days,
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 comments A 26 year old female who is a mother of two children, a tailor and agricultural labourer got married 10 yrs back After 1yr she had male child of 10 yrs age and on 2 nd yr of her marriage she had female child of 8 yrs age. In (2014 ) 6 yrs back she had bilateral hands small joint pains,later to elbow and shoulder for which she used medication prescribed by a local medical shop for 10 days, (2017)3 years back,then she developed multiple joint pains she then visited local hospita
48 year old male with pedal edema,abdominal distention and facial puffiness
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. Here is a case i have seen : A 48 yr old male who is a labourer by occupation in 2019 he had complaints of pedal odema pitting type , abdominal distension and facial puffiness visited many hospitals and certain investigations was done in january renal biopsy was done membranous nephropathy with plar 2+ was diagnosed. In February 24 hr urine protein was done (4.7gm/lt) and was on treatment with dytor plus , rosuvastatin, protein powder and metformin and used medicat