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Showing posts from November, 2022

A 30 YR OLD MALE

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A 30 year old male  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 also reflects my patient-centered online learning portfolio and your valuable inputs on the comment box. Chief complaint: A 30 year old male patient resident of Gudipally came to the casualty on 23/11/22 of altered behaviour since yesterday   Involuntary micturition since yesterday Dizziness since morning HOPI. Patient was apparently asymptomatic till 12 am last night then he started behaving abnormally which was sudden in onset in terms of not .responding when spoken to,irrelevant talk which is repetitive and self talking.patient is irritable every few minutes and

A 60 YEAR MALE PATIENT WITH FEVER ,CHILLS,RIGOR &LOSS OF APPETITE.

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A 60 year male patient with fever ,chills, rigorand loss of appetite November 26, 2022 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 also reflects my patient-centered online learning portfolio and your valuable inputs on the comment box. Chief Complaints: Pt complaints of fever and chills since 5 days and constipation since 4 days. History of Present Illness: Patient is asymptomatic since 5 days ago then developed low grade fever associated with chills and rigors.  C/o decreased appetite since 5 days. C/o constipation since 4days. No H/o bleeding and dark colored stools. Increased frequency of micturition since 1 month. Headache,

A 70YR OLD MALE WITH SHORTNESS OF BREATH ,ANURIA &ABDOMINAL PAIN.

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A 70 year old with shortness of breath,Anuria&Abdominal pain. This is an a online e log book to discuss our patient de-identified health data shared after taking his / her / guardians signed informed consent. 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 problem with collective current best evident based input. This E blog also reflects my patient centered online learning portfolio and your valuable inputs on the comment box is welcome. Case report A 70 year old male carpenter by occupation came with chief complaints of Shortness of breath since 1 week. Anuria since 4 days. Pain abdomen since 1 day. HOPI Pa tient was apparently asymptomatic 6 years back patient developed shortness of breath and was taken to the hospital and dialysis was done for about 3 times. He was taking NSAIDS for his body pains since 20 years he stopped using the after dialysis was done.1

A 55YR OLD FEMALE COMPLAINS OF FEVER,DECREASED APPETITE SINCE 1 MONTH ,BREATHLESSNESS SINCE 1WEEK,VOMITINGS &LOOSE STOOLS SINCE 3 DAYS.

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A 55yr old female complains of fever,decreased appetite since 1 month, Breathlessness since 1 week,vomitings and loose stools since 3 days. 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 also reflects my patient-centered online learning portfolio and your valuable inputs on the comment box. CHIEF COMPLAINTS: Pt complains of fever,decreased appetite since 1 month, Breathlessness since 1 week,vomitings and loose stools since 3 days .  HOPI: Patient was apparently asymptomatic 3 months back. Then she had multiple swellings in front of the left ear, for which she developed fever which was lowgrade, intermittent, no evening rise of temp

67 YEAR OLD MALE WITH COPD WITH RIGHT HEART FAILURE

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67 year old male with COPD with right heart failure   This is 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 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 comment box is welcome. CASE PRESENTATION : A 67 year old male , farmer by occupation, came with chief complaints of: Pedal edema since 6 months  SOB grade 2 since 2 months  Low back ache since 2 months  HOPI: patient was apparently asymptomatic 2 years back then he developed shortness of breath on exertion, associated with dry cough for which he went to hospital, given medication for shortness of breath.He used to take medication   (inhalers)whenever he

55 YEAR OLD FEMALE WITH FEVER,COUGH AND DIFFICULTY IN BREATHING

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55 year old female with fever,cough and difficulty in breathing  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. CASE HISTORY   A 55 year old female came to casualty  with c/o Fever since 3 days  Cough since 3 days  Difficulty in breathing since 3days  HOPI : Pt was apparently asymptomatic  3 days ago , then she developed fever which is low grade , relieved on medication  She also has cough since 3 days which is dry Then she developed increased fever since evng and increased cough and difficulty in breathing  Abdominal discomfort since today evng  No h/o nausea, vomiting  No h/o loose stools No h/o constipation  PAST HISTORY: K/C/O  type 2 DM since