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Showing posts from April, 2023

A 14 yr old female came with c/o shortness of breath since 2 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 comments on comment box is welcome. I've been given this case to solve in an attempt to understand the topic of "Patient clinical data analysis" to develop my competency in reading and comprehending clinical data including history, clinical findings, investigations and come up with a diagnosis and prognosis A 14 year old female  resident of Narketpally studying 9 th class  came to the OPD with the chief complaints of  CHIEF COMPLAINTS: Shortness of breath since 2 days  Fever since 1 day. Abdom...

A 40 yr old patient came with chief complaints of giddiness and abdominal discomfort

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  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. 40 yr old patient came with chief complaints of- C/o generalised weakness since 2 days  C/o giddiness since 2 days  C/o abdominal discomfort since 1 day  HOPI- Pt was apparently a symptomatic 2 days ago. She then developed giddiness which is sudden in onset(rotational) generalised weakness since 2 days. Pt went to a local hospital and was found to have high BP and was treated. After 6hrs, pt had severe giddiness and on evaluation there was low BP and was admitted. Pt had severe...

A 27yr old patient came with chief complaints of pedal Edema since 10 days

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  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- C/o loss of appetite since 20 days C/o tremors since 15 days  C/o blood in urine since 10 days and C/o pedal edema since 10 days HISTORY OF PRESENT ILLNESS- Patient was apparently asymptomatic 20 days back then he had loss of appetite for which he went to the hospital and was diagnosed as CLD spleenomegaly and portal hypertension for which he  took medication after which he developed haematuria since 10 days and pedal Eden’s which is of pitting type.  Pedal ed...

A 45yr old male with recurrent acute pancreatitis interstitial and alcohol dependence syndrome

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  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 INPUT  CHIEF COMPLAINTS-  C/o itchy skin lesion on left foot since 10 yrs which initially started as a papule  C/o pain in the abdomen since 3 days C/o constipation since 3days C/o vomitings since 2days HISTORY OF PRESENT ILLNESS-  Pt was apparently asymptotic 2days ago then he developed pain in the abdomen-epigastric region. Pain is sudden in onset, gradually progressive. Pain increases more after eating food and on lying in supine position. Pain is relieved on sitting position and on bending forward.  H/o 3 episodes of vomiting yesterday after eating food. Content- food, non bilious, non projectil...

A 48yr old male came for dialysis

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  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. A 48 yr old male with decreased urinary output since 15 days, pedal edema and facial puffiness since 10 days. HISTORY OF PRESENT ILLNESS- Patient was apparently asymptomatic 2yrs back then he developed bilateral pedal edema and decreased urinary output. And diagnosed as renal failure. Shortness of breath G3 insidious in onset and gradually progressive ,pedal edema G2 pitting type No history of burning micturation No history of fever PAST ILLNESS- History of hypertension  History o...