187.SHAIK.ISHRATH PARVEEN

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 .  C/o swelling of right lower limb since 8 days. HOPI Patient was appalently asymptomatic 5-6 days back, then he developed a small swelling over right lower limb near ankle  joint which he scratched and later swelling gradually increased.Associated with pain.On checking GRBS at presentation blood sugar levels found to be 542 mg/dl. No H/o fever,Nausea ,vomiting,Burning micturation. Past history : Known case of DM type 2 since 9 years on GLIMI M2 N/K/C/O HTN,CVA,CAD,TB,Epilept,Thyroid

A patient named aged 77 years came to opd Chief complaint :  swelling on left leg since 15 days, low grade fever since 15 days History of present illness  :  patient was apparently asymptomatic 15 days ago, then he developed swelling in his left leg           -which is insidious in onset,           - gradually progressive           -no relieving or aggravating factors Low grade fever since 15 days          - not associated with chills and rigors          -no cough and cold          - relieved on medication No shortness of breath No palpitations, chest pain History of trauma is present Past history :           Known case of hypertension since 8 years Not a known case of diabetes mellitus , epilepsy, thyroid Had cellulitis,necrotizing infection 6 years ago on left leg Had a accident with car 9 years ago,had a tibia implant 9 years ago, it was removed 5 years ago Personal history :            -mixed diet            -regular bowel and bladder movements            - adequate sleep