Days in medicine posting

Hello everyone.. I am sreeram , an intern posted in medicine department and one of the important terms of getting the internship completion is to complete my log book with my online log of what I learn during the course of my duties. Here we discuss our individual patients 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-centred online learning portfolio and your valuable inputs on the comment box is welcome. A 20 year old man presented with a 5 day history of pedal edema. The youngest of 4 boys, he was apparently asymptomatic 5months back then  he first reported feeling unusual palpitations while lifting a 20L water can onto his bike, a Bajaj Pulsar 150cc. He reports that he had been having such palpitations with exertion even earlier but he could remember only as far back as this event. He reported those

  Hello everyone.. I am sreeram , an intern posted in medicine department and one of the important terms of getting the internship completion is to complete my log book with my online log of what I learn during the course of my duties. Here we discuss our individual patients 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-centred online learning portfolio and your valuable inputs on the comment box is welcome. A 45yr old man , mirchi bajji shop owner by occupation hailing from miryalaguda had complaints of generalised body pains since 1week , which was shooting type and radiating all over back and neck pains . Pt also was complaining of bilateral feet and hands tingling . Then he went to a near by RMP where he got treated with Inj. Voveron but his symptoms had not got resolved.  Then the pt. Consulted anot