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Showing posts from November, 2022

48 year old female patient with pedal edema

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This is an online e-log book to discuss our patients de-identified health data shared after taking his/her/guardian's 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 . CHEIF COMPLAINT: A 48 yr old female patient came to the causality with cheif complaint of pedal edema since 1 yr and puffiness of face since 2 months. History of present illness: Patient was apparently asymptomatic 1 year back then she developed bilateral pedal edema extending upto knee, which is pitting type.she also noticed puffiness of face since 2 months and it reduced after taking medication and started from 1 week. History of past illness: Known complaint of hypertension since 3 years ( on regular medication TAB . NICARDIA 20mg POBD) Known complaint of hypothyroidism since 1 year( on T THYROXINE 50mg POBD) No k

40 yr old female patient with abdominal pain

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March 04, 2022 This is an online e-log book to discuss our patients de-identified health data shared after taking his/her/guardian's 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 . CHIEF COMPLAINTS  40 year female patient came to hospital with abdominal pain  Patient complaints about pain in the abdomen. History of present illness:- Patient non apparently asymptomatic and then developed symptoms of pain in abdomen. Fever intermittent No case of burning micturition History of past illness:-  Not a k/c/o hypertension Not a k/c/o diabetes mellitus. No Tb,BA,CAD,CVA Personal history:- Married Appetite: Normal Allergies:-No  Menstrual history:- Age of menarche: 12yrs Any gynecological problems; No. FAMILY HISTORY:-  Allergic history:-not known case of allergy. Not allergic to pollen a

A 60 yr old male with fever and head ache

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November 13, 2022 This is an oneline e-blog depicting patient's de-identified data centred approach for learning medicine. This log has been created after taking concert from patient and his family. Here we discuss about patient's problems with a series of inputs with an aim to solve them  Chief complaint : A 60 year old male patient came to casualty with a complaint of fever with chills and head ache since 1 week  History of present illness : A 60 year old male patient who was farmer by occupation was apparently asymptomatic 1 week back then he notice fever with chills and headache, relieved on taking medication and he visited other hospital before coming here they gave a report positive for widal test  Uncontrolled diabetes (2 days) History of past illness : History of diabetes (on medication since 18 years) No history of hypertension, asthma,TB,Epilepsy, Thyroid Personal History : Married Diet : vegetarian  Appetite : Normal Sleep : Adequate  Allergies : No Bowel movement

A 55Yr old female with shortness of breath

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This is an 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. I have 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 diagnosis and treatment plan. Cheif complaint: A 55yr old female patient residence of choutupal and agricultural by occupation with cheif complaint ofshortness of breath since 1 month  and had an episode of epilepsy 2 days back. HOPI: Patie

65 yr old female with abdomen pain on intake of food

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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 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.  CHEIF COMPLAINT : A 65yr old female patient complaints of stomach pain on taking food since 1month HISTORY OF PRESENT ILLNESS :A 65yr old female patient who is aaganwadi worker by occupation was apparently asymptomatic 1month ago then she noticed stomach pain on taking food and relived on vomiting and medication.  HISTORY OF PAST ILLNESS : H/o hypertension since 20 yrs ( on medication ) No h/o asthma ,diabetes ,epilepsy, thyroid   H/o similar complaint 5yrs back FAMILY HISTORY : no relevant family history  PERSONAL HISTORY :  Married  Diet : mixed Appetite : decreased  Sleep: adequate  Bowel $

45 yr old male with fever, abdominal pain ,loose stools and vomitings

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CHIEF COMPLAINTS :    A 45 yr old male c/o fever since 5 days, abdominal pain , loose stools and vomitings since 14/10/2022. HOPI: patient was apparently asymptomatic 5 days ago and then developed fever, which is low grade, not associated with chills and rigors and relieved on medication. He complains of diffuse pain abdomen since 11th October morning. He had 3-4 episodes of vomiting on the same day evening, food particles as content and non- bilious in nature .He had loose stools since evening the same day, which is of 5 -6 episodes and so he went to local hospital. He developed weakness of both upper and lower limbs and found to be having low potassium, correction was done and the weakness got improved. He now came with c/o abdominal pain , vomiting and loose stools. PAST HISTORY Not a k/c/o DM, Hypertension, Asthma, epilepsy, CAD, CKD.  He went for a General checkup 6yrs ago, where he was diagnosed as HIV positive. He was on ART .  He met with an accident 3yrs ago and got Right a

60 year male patient with fever ,chills, rigorand loss of appetite

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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: 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, weakness on and off. History of Past illness: No H/o DM, BP, TB, CAD,CVD, Asthma. Perso

55 year old female with fever, cough and difficulty in breathing

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General Medicine 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/