KARTHIK VARMA ROLL NO 199

 This is an E log book to discuss our patients de identified health data shared after guardians informed consent. Here we discuss our individual patient problems through series of inputs from available global online community of experts with an aim to solve this patients clinical problems with collective current best evidence based inputs. This E-book also reflects my patients centered online learning portfolio and your valuable comments in comment box are most welcome. I have been given this case to solve in an attempt to understand the topic of "patient clinical data analysis" to develop my competency and to comprehend clinical data including history, clinical finding investigations and come up with a diagnosis and treatment plan. CHEIF COMPLAINTS  - pain in upper abdomen since 3 month HISTORY OF PRESENTING ILLNESS : The patient was apparently all right 3 month ago and then he developed pain in the left hypochondriac region and epigastric area which was insidious in onset,

  This is an E log book to discuss our patients de-identified health data shared after guardians informed consent. here we discuss our individual patient problems through series of inputs from available global online community of experts with an aim to solve this patients clinical problems with collective current best evidence based inputs. This E-book also reflects my patients centered online learning portfolio and your valuable comments in comment box are most welcome. I have been given this case to solve in an attempt to understand the topic of "patient clinical data analysis" to develop my competency and comprehending clinical data including history, clinical finding investigations and come up with a diagnosis and treatment plan. CHEIF COMPLAINTS: .shortness of breath since 1 month.  . cough since 7 days. . fever since 5 days. . Bilateral pedal oedema since 5 days  HOPI: Patients was apparently asymptomatic 1 month back then developed dyspnoea  which was gradually progres