Sangeetha gattikoppula

This is online E-blog, to discuss our patient de-identified health data shared after taking her guardian's signed informed consent. A 13years old girl who is a student studying in hostel located at annaram,came with complaints of Bilateral lower limb swelling since 15days.  HOPI:Patient was apparantly normal 2months back and then she developed nausea and vomitings 4 episodes for 3 days.content food particles.Non bilious.Not associated with pain abdomen.No loose stools.Now since 15 days patient developed bilateral lower limb swelling initially till ankle and now progressed to generalised swelling with puffiness of face. No history of SOB,No burning micturition,No fever,No skin rashes. History of irregular menstrual cycles since menarche (achieved her menarche at 12 years)menstrual cycles were once in every 3 months.Last menstrual period 30/05/2022. Not a known case odf DM,HTN,THYROID,CAD,CVA,BRONCHIAL ASTHMA. History of acute gastroenteritis 2 months back.o GENERAL EXAM

  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 26 year old male patient, resident of adauidulpally, Nalgonda district farmer by occupation came to our hospital with chief complaints of - 1. Shortness of breath 2. Loss of appetite 3. Low grade Fever  4. Pedel edema Date of admission :- 05/04/2022 History of present illness: - Patient was apparently normal 1week back , then he had one episode of low grade fever, Generalized body pains, burning micturtion but relieved with medication.Then developed pedal edema,initially till ankle Loss of appetite  4-5 days back associated with nausea and  4 days back one episode of vomiting  Non bilious and no food par