VISHAL SARDA ROLL NO 142

 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 . 32 year old gentleman who is a GHMC worker came to the hospital with chief complaints of  •yellowish discolouration of eyes since 45 days •SOB since 10 days  • cough since 5 days • fever since 3 days. History of presenting illness:-  Patient was apparently asymptomatic 6 months back , then he developed yellowish discolouration of eyes . • For this problem he used local medicine ( natuvedyam) and stopped consuming alcohol for about 3 months. • Due to stopping of alcohol consumption

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 . A 67 year old female came to the casualty with  C/o palpitations on 27/12/2021. HOPI:-  Patient was apparently asymptomatic 4 days back then she developed palpitations associated with giddiness due to which she came to the hospital. Patient took Tab.metxl 50mg on her own. Patient is on tab.ecosprin , tab.clopitab , tab.metxl 50mg OD. Patient took double dose of metxl 50 mg due to palpitations. Patient was kept under observation. Resting Heart rate was 27bpm. Inj.atropine 6mg Stat w