A 55 year old female farmer by occupation came with chief complaints of shortness of breath , generalised weakness and itching
This is an online E logbook 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 an available global online community of experts 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 the comment box are welcome. Chief complaints Shortness of breath, generalised weakness and itching History of present illness Patient was asymptomatic 1 year back and then she was diagnosed with anemia and shortness of breath grade 2, had 5 units of blood transfusions at oasis hospital Hyderabad. Five months back she had same symptoms and had 2 units of blood transfusions at Nalgonda government hospital. Hematuria Subsidies while giving blood transfusions. Past history : 6 months back she was diagnosed with varicel