Siddarth Rangu

 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 reflects my patient centered online portfolio and your valuable inputs on the comments is welcome.” 50 years old male resident of nalgonda who is farmer came to the hospital with the complaints of  CHIEF COMPLAINTS : C/o On and off of Joint pains in hips, knee, ankle, wrists, elbow, fingers, One joint at a time.  HOPI: patient was apparently a symptomatic four years back then he developed bilateral Knee joint pain (insidious in onset gradually progressive)On and off, went to rural community practitioner and given medicine, the patient have been taking pain management medication when he has joint pa