63.P.Likhitha

 VIRAL PYREXIA WITH THROMBOCYTOPENIA  This is an online e-log book to discuss our patient's de-identified health data shared after taking his/her/guardian's 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.   A 45 yr old male presented to the opd with the chief complaint of fever and chills since 4days .No h/o vomitongs ,loose stools . HISTORY OF PRESENT ILLNESS: Patient was apparently asymptomatic 4days back and then he gradually developed muscle cramps and cough initially . No complaint of chest pain ,blurring of vision . HISTORY OF PAST ILLNESS: Not a k/c/o HTN/DM/TB /ASTHMA /CAV/CDA  PERSONAL HISTORY: Married ,normal appetite,vegetarian,regular bowel movement,micturation -normal ,no known allergies ,addictions occasionally. FAMILY HISTORY: No history of diabetes, hypert

This is an online e-log book to discuss our patient's de-identified health data shared after taking his/her/guardian's 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. October18,2021 Date of admission:15/10/21   A 50 yr old male presented to the opd with the chief complaint of pedal edema since 3 months on and off along with facial puffiness . Decreased urine output since 3 months and SOB of grade 4 since 3 days . HISTORY OF PRESENT ILLNESS:patient was apparently asymptomatic since 3 months back then developed bilateral pedal edema which is Pitting type and progression in nature and extending until knee .c/o sob grade 4 .no h/o abdominal distensions ,loose stools ,vomitings ,fever,coughetc.. HISTORY OF PAST ILLNESS : Not a k/c/o HTN/DM/TB/CAD/ASTHMA/CVA . PERSONAL HISTORY:

 4/10/21 Date of admission:27/9/21 A 45yr old male presented to the opd with the chief complaint of B/L pedal edema since 1 year and SOB(grade 3-4)since 4days and decrease in urine output since 1 week . HISTORY OF PRESENT ILLNESS:Patient was apparently asymptomatic 1 year back ,then he developed bilateral pedal edema ,which is gradual ,pitting type ,progressive in nature ,extended up to knee ,aggravated on walking .c/o sob grade (3-4)-progressive .no c/o orthopnea ,PND ,burning micturation . HISTORY OF PAST ILLNESS: K/c/o HTN since 12 yrs and on tab.Amlong 5 mg (11yr) &tab .nicardia 20mg (2yr)not a k/c/o  DM/TB/CAD/ASTHMA /epilepsy. PERSONAL HISTORY: Married ,normal appetite,non vegetarian,regular bowel movement,micturation normal ,no known allergies,no addictions . FAMILY HISTORY: No history of diabetes, hypertension,heart disease, stroke, asthma, tuberculosis,cancers. GENERAL EXAMINATION: The patient is conscious, coherent, cooperative. No Palar  No icterus  No cyanosis  No clubb

 30/9/21 Date of admission:29/09/21 A 24 yr old female presented to the opd with the chief complaint of fever from the past 4 days ,left hypochondriac pain since 4 days and headache since 4 days . HISTORH OF PRESENT ILLNESS: Patient was apparently asymptomatic 4days back and then developed fever from past 4days,left hypochondriac pain since 4days and is not associated with vomitings ,irregular bowel movements and burning micturaton . HISTORY OF PAST ILLNESS : Outside platelet count -80,000cells/cumm  No past history of K/C/O HTN,DM,TB,asthma, epilepsy . PERSONAL HISTORY: Married ,normal appetite-lost ,non-vegetarian,regular bowel movement,normal micturation,no known allergies ,no addictions. FAMILY HISTORY: Their is family history of diabetes ,hypertension,and no history of Heart disease,stroke,cancers ,tuberculosis,asthma. MENSTRUAL HISTORY: Regular menstrual cycle . GENERAL EXAMINATION: The patient is conscious, coherent and cooperative. No Palar  No icterus  No clubbing  No cyanosis