VARSHHA ALVALA ROLL NO 169

  47 year old women came to the casualty with cheif complaints of fever and chills 5days ago associated with body pains 47 year old women present to the casualty with C/O of fever and chills since 5 days associated with body pains and generalised weakness. C/O of vomiting (10episodes) Vomit was non projectile,non bilious,non particulate  HOPI: Patient was apparently assymtomatic 5 days ago and then    she developed the small bleb on the plantar surface of a left foot on which home remedies were practiced and then there was no good result . The patient had episodes of vomiting frequently and even had a complaint of generalised weakness and dehydration. Fever: high grade a/w chills and rigor She was diagnosed with type 2 diabetes mellitus 7 years ago and has been on oral hypoglycemics for 5yrs . Later on she    started insulin therapy since 1 year, 20 units morning and 15 units at night . She under went colonoscopy 3 months ago and was diagnosed with internal hemarroids. Amputation of th

  VARSHHA ALVALA ROLL NO:169 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 A 30year old male with alcoholic liver cirrhosis  A 30yr old male with alcoholic fatty liver  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