DIVYA YADA ROLL NO 178

 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 clinical problems with collective current best evidence based inputs. A 57 yr old male patient resident of gopalayapalli came to opd with chief complaints of generalised edema and decreased urine output since one month, chest pain since 4 days. HISTORY OF PRESENT ILLNESS: Patient was apparently asymptomatic one month back later he developed swelling of face followed by abdomen and limbs which is pitting type since one month.  He had decreased urine output since one month.Intially there was dribbling of urine later there was complete stoppage of urine. He had chest pain since 4 days which was sudden in onset, dragging type,radiating towards back,and aggravated at night. H/o fever ass

 This is an online E log book to discuss our patient's de-identified health data shared after taking his 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 clinical problems with collective current best evidence based inputs. CHIEF COMPLAINTS A 13yr old boy came to old with chief complaints of yellowish discoloration of the eyes, yellowish green coloured vomitings and also had yellow coloured urine since 9days. Patient history :   At birth: Patient developed jaundice and it resolved spontaneously At 8 months: He had altered bowel movements ,for 1 week he had loose stools and another week he had normal consistency.later he had loose stools every day for 2-3 days during which he became cachetic.He got admitted in hospital and they mentioned as suspected case of celiac disease,chronic diarrhoea,chronic malabsorption. He was treated with IV