Medicine log book by Abhigna

 Anatomical and etiological localization for hemiparesis and further management? Etiology pathogenesis clinical features management complications of acute pancreatitis? Dengue fever clinical features and complications ? Cushing syndrome? Cardiogenic pulmonary edema? Rheumatoid arthritis? Heart failure? Ascites  Pyrexia of unknown origin Drug induced liver injury Evaluation of low back ache Renal artery stenosis Acute kidney injury Oral hypoglycemia agents Microvascular and macrovascular complications of diabetes Lights criteria Metabolic acidosis Iron deficiency anemia

  Case : A 35 Year old woman with sleroderma, pedal edema and ascites This is 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 patients 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 comment box is welcome . A 35 year old female who is asha worker by occupation came to the opd with chief complaints of swelling of both legs since 6 days and abdominal distension since 6 days. HISTORY OF PRESENT ILLNESS: The patient was apparently asymptomatic 7 days back and she observed swelling in both legs bilaterally  which was insidious in onset and progressive .it has worsened  In the last three days .it is of putting type. A Abdominal diste