Cushings syndrome
This is an online elog book to discuss our patients de-identified health data shared after taking his /her/ guardian informed consent here we discuss our individual patients problems through series of input from available global online community of experts with an aim to solve those patients clinical problems with collective current best evidence based inputs. 19 year old male resident of Nalgonda and currently studying intermediate ,came to opd with complaints of : -Itchy Ring leisons over arms ,abdomen ,thigh and groin since 1 and half year . -Purple stretch marks all over abdomen ,lower back ,upper limbs ,thighs since 1 year . -Abdominal distension and facial puffiness since 6 months. - Pedal edema since 3 months. - Low back ache since 3 months . - Feeling low , not feeling to talk to anyone. - Weight gain and decreased libido since 3months. - Loss of libido HISTORY OF PRESENT ILLNESS : Pt was apparently alright one and half year ago , when he slowly developed erythematous round lei