Nadipelly Sai Charan

 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 clinical problems with collective current best evidence based inputs. 32 year old male, worker in an electrical industry in Mumbai came to the OPD, on 10/10/21 with right hip pain. History of present illness: Patient was apparently asymptomatic 3years ago, then he developed pain in loin region for which he went to a private hospital in mumbai and was diagnosed with bilateral renal calculi and bilateral stents were placed (patient attender said that there was no problem in kidney function at that time). Patient had no problem after that and continued to work. After 4-5months the stents were removed, just 1 week after stents were removed patient again had pain in his loin. He was tak

  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 clinical problems with collective current best evidence based inputs. A 27 years male patient occupation by electrician came with chief complaints of pain in abdomen since 3 months  HISTORY OF PRESENT ILLNESS :-  patient was apparently  asymptomatic 3 months back, then he had a trauma where his relatives beaten him with stick at the left hypochondrium region and  then he developed mild diffuse abdominal pain associated with bilious vomiting .projectile .contains food particles , then the pain subsided on taking medications. After a few days he again developed pain abdomen at the left hypochondrium region and the pain radiating to back , then he went to government hospital where he