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Showing posts from December, 2022

CERVICAL SPONDYLOSIS

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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 inputsThis e-log book also reflects my patient centered online learning portfolio and your valuable inputs on comment box is welcome A 55 years female patient occupation by daily labour came to opd with chief complaint of neck and shoulder pain on left side since 2 years HISTORY OF PRESENT ILLNESS : She was asymptomatic 2 years back the she developed shoulder pain which is radiating to arm and neck  No history of any trauma  Aggrevates on doing work  Relives on rest and medication  HISTORY OF PAST ILLNESS : No H/o DM, HTN, Asthma , epilepsy, TB .  TREATMENT HISTORY : History of previous medication 1year back No histo

CKD

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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 inputsThis e-log book also reflects my patient centered online learning portfolio and your valuable inputs on comment box is welcome A male Patient aged 62 yrs,  daily labour by occupation came to opd with Chief complaints of     loss of appetite and nausea since one week,     Shortness of breath on exertion       bilateral limb swelling since a week     Decreased urine output since 5 days HISTORY OF PRESENT ILLNESS : Patient was apparently asymptomatic 1 week back then he developed loss of appetite and nausea then developed shortness of breath on exertion and bilateral limb swelling since 1 week and then noticed Dec

ACUTE ISCHEMIC STROKE

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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 inputsThis e-log book also reflects my patient centered online learning portfolio and your valuable inputs on comment box is welcome A 65 years old male patient came to OPD with the chief complaints of  Weakness of left upper limb , left lower limb, slurring of speech since 2 days Tingling sensations in right upper limb since 20 days HISTORY OF PRESENT ILLNESS : Patient was apparently asymptomatic 20 days back then he developed tingling sensation in right upper limb which gradually progressed and developed generalized weakness for which he was taken to hospital and was diagnosed with acute infarcts and chronic infarc

FIBROSIS OF LUNG secondary to pulmonary tuberculosis

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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 inputsThis e-log book also reflects my patient centered online learning portfolio and your valuable inputs on comment box is welcome A 28 yr female patient  came to OPD with chief complaints of left side flank pain,  shortness of breath  One episode of hematuria and dysuria HISTORY OF PRESENT ILLNESS: Patient was apparently asymptomatic 15yrs back then she had complaints of loss of weight and appetite for which she was diagnosed as pulmonary tuberculosis and on started on anti tubercular therapy .But she discontinued the treatment and she was kept of 8 months ATT.and in 2020 she developed low back ache for which she

DENGUE

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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 inputsThis e-log book also reflects my patient centered online learning portfolio and your valuable inputs on comment box is welcome A 70 year old female patient came to OPD with Chief complaints of  fever since 20 days Pain while swallowing since 10 days Pain in abdomen since 2 days Shortness of breath since 1day History of presenting illness: Patient was apparently asymptomatic 20 days back then she developed fever which was high grade and intermittent type,associated with generalized body weakness,chills, she went to a rmp near by and took some medication which relieved the fever for 2 days and again fever get sta

HYPOGLYCEMIA

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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 inputsThis e-log book also reflects my patient centered online learning portfolio and your valuable inputs on comment box is welcome A 64 years old male patient came to opd with the chief complaint of sudden loss of consciousness History of present illness: Patient was apparently asymptomatic 15days ago. then he developed high sugars for which he went to hospital  and advised to use gliclazide 60mg &  Metformin 500mg OD. Patient was normal untill morning  then he took Gliclazide 60mg & Metformin 500mg in the morning assuming his sugars to be digh. From then he was unconcious, and his GRBS was 21mg/dl. His las

IRRITABLE BOWEL SYNDROME

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 inputsThis e-log book also reflects my patient centered online learning portfolio and your valuable inputs on comment box is welcome A 28 years female patient occupation by house wife came to opd with chief complaints of loose stools since 20 days associated with abdominal pain and generalised weakness HISTORY OF PRESENT ILLNESS : She was asymptomatic 30 days back then when stools started which is less in quantity assosiated with abdominal pain that releaved after passing stools not associated with any blood in stools associated with generalised weakness  HISTORY OF PAST ILLNESS : She visted 3 hospitals for same rea

A PATIENT OF UNCONTROLLED SUGARS

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 inputsThis e-log book also reflects my patient centered online learning portfolio and your valuable inputs on comment box is welcome. A 18 year old male patient presented to casuality with the chief complaints of weight loss  excessive apettite since 1 year HISTORY OF PRESENT ILLNESS : Patient was apparently asymptomatic 1 year back then he noticed loss of weight  and unable to gain weight inspite of taking adequate diet He also had excessive apettite. No history of fever HISTORY OF PAST ILLNESS ; No history of similar complaints in the past. No history of Asthma ,TB, Hypertension , diabetes and epilepsy Patient has

CKD

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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 inputsThis e-log book also reflects my patient centered online learning portfolio and your valuable inputs on comment box is welcome A 55 years old male patient came to op with cheif complaints of.   Pedal edema since 5 to 6months and burning micturation since 2 days History of present illness: Patient was apparently asymptomatic 6months back then developed pedal edema and went to hospital and then diagnosed with CKD and 3 dialysis completed till now and then since 2 days he complaints of burning micturation Past history: Hypertension since 20 yrs and on medication Nicardia 10mg Family history : No significant family