Sai Durga Bhavani Bommaraboina

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 A 32 year old male came to the opd with complaints of  -Alcohol consumption since 6 years (540ml whiskey) (Last consumption 180ml whiskey on 30/03/22) -tobacco consumption since 6 years(6 packs gutka /day &1 cigarette /week) ALCOHOL- Cravings+ Tobacco + -Due to peer pressure and family stressors Patient started consuming whiskey 90ml /day gradually increased it ti 540ml /day Withdrawals+ Patient experiences sleep disturbances,palpitations when not consuming alcohol Harmful use + Patient is aware of harmful effect of alcohol Loss of control Loss of interest in other pleasurable activities Patient is giving more import

26 year old male with fever April 03, 2022 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 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-centred online learning portfolio and your valuable inputs on the comment box is welcome."I've been given this case to solve in an attempt to understand the topic of "patient clinical data analysis" to develop my competency in reading and comprehending clinical data including history, clinical findings, investigations and come up with a diagnosis and treatment plan. CHIEF COMPLAINT: 26 yr old, male mechanic by occupation came with c/o fever since 5 days. HISTORY OF PRESENT ILLNESS: The Patient was apparently a