193 Siddhartha Yelagandula

  Hello! This is Siddhartha Yelagandula of eighth semester MBBS.  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.  A 60 year old male person, resident of narketpally, came to General Medicine OPD with Complaints of: Burning micturition on and off since 2-3months Burning sensation near  heart since 5 days. Bilateral pedal edema since 5 days. Shortness of breath since 5 days. HISTORY OF PRESENTING ILLNESS Pt was apparently asymptomatic 4 years back. Then he developed lower back pain which was sudden in onset and gradually progressive

E-LOG GENERAL MEDICINE Hi, This is Siddhartha ,  an  eighth semester medical student. This is an e-LOG depicting patient's de-identified data centered approach for learning medicine. This log has been created after taking consent from  patient and his family. Here we discuss about patient's problems with a series of inputs with an aim to solve them Chief complaints:    Patient complains of shortness of breath, Abdominal distension. Shortness of breath since 1 year Abdominal distension since 1 year History of present illness: The patient is apparently asymptomatic one year ago , then he developed shortness of breath and abdominal distension. shortness of breath: insidious onset , grade-3(NYHA) , gradually progressive, Aggravated on walking and not relieved on rest. History of left anterior septal deviation. History of abdominal distension: Insidious onset, Not associated with pain, tenderness. No history of vomiting, loose stools, constipation. No History of orthopnea, PND, coug