Sai

 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 patients clinical problems with collective current based inputs  CASE 26 year old female who is a resident of nalgonda and housewife came with the complaints of ▪ Lower back ache since 15 days ▪ Fever since 10 days HISTORY OF PRESENTING ILLNESS ▪Patient was apparent asymptomatic 15 days back then she developed severe lower back adhe which was insidious in onset and gradually progressive and continuous type which was squeezing in character and not a radiating type of pain and it gets relieved by medication and the injection given by local doctor there are no associated symptoms ▪ Then she developed fever 10 days back which was insidious in onset which started as chills then develope...

  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' 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. 50 year old male with  weakness of both lower limbs   and slurring of speech since 5 days History of presenting illness : Patient had a history of fall 1 year ago and he did not take any treatment for it and was alright for 8 months then 4 months back he had pain in right hip which was insidious in onset and gradually progressive in nature   since 1month there was change in the gait of patient which was noticed by his relatives and there is hematuria for 5 days which he has neglected For which he consulted local doctor and diagnosed avascular necrosis of of femur for which he has given m...