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Showing posts from March, 2022

40 old years male with CKD

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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 40 year old male resident of Nalgonda came with the complaints of Shortness of breath,facial swelling,pedal edema. Chief complaints: Bilateral lower limb swelling since 20 days. Generalized anasarca since 15days . Shortness of breath grade 3 and 4 since 10days. History of present illness:   The patient was apparently asymptomatic 4 months back .He used to go for work (farming) before 4 months .Suddenly he developed cough along with Shortness of breath ,for which he was ta...

50 year old female with SOB ,PEDAL EDEMA

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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 a series of inputs available global online community of experts with the aim to solve the patient’s clinical problems with the collective current best evidence based inputs. This E log reflects my patient centred online learning portfolio and your valuable inputs in the comments section.  A 50 year old female from nalgonda ,farmer by occupation has come with chief complaints of • SOB since 15 days • Pedal edema  since 15 days HISTORY OF PRESENT ILLNESS Patient was apparently asymptomatic 3 years back when she developed SOB grade 2 and pedal edema which then extended to face and body causing generalised edema . She then went to nalgonda hospital and used medications prescribed and the symptoms subsided. 6 months back in jan 2022 she developed the same symptoms and again we...

40 yrs old male with acute pancreatitis with uncontrolled sugars

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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 a series of inputs available global online community of experts with the aim to solve the patient’s clinical problems with the collective current best evidence based inputs. This E log reflects my patient centred online learning portfolio and your valuable inputs in the comments section. 40year old male who works as a field assistant who is chronic alcoholic came to casualty with complaints of abdominal pain since one day & vomitings since one day  HISTORY OF PRESENT ILLNESS :  Patient was apparently asymptomatic 1 day back , since 3 days there is history of binge alcohol consumption (around 450ml(IB) whisky) after which he developed pain abdomen since 1day which was squeezing type,mostly in epigastric region,diffuse type associated with nausea & vomiting 8 to...