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Showing posts from June, 2021

A 50 yr old patient with giddiness, and dry cough.

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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 in the log.  Chief complaints;- A 50 yr old female came to the OPD with the chief complaints of.. Giddiness since 1 week ..     associated with blurring of vision( intermittent). Dry cough since 2 days Fever with chills since 1 day... History of present illness:- Patient was apparently asymptomatic 2 yrs ago, then she had high grade fever, associated with chills, red coloured urine, burning micturition,which was diagnosed as emphysematous pyelonephritis. Stenting was done and removed 2 yrs ago

A 50 yr old male with pain abdomen

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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 in the log.  Cheif complaints:-  A 50 yr old  patient came to the casuality with chief complaints of pain abdomen since one day.  History of present illness:- 8yrs  back patient had c/o polyuria when he was diagnosed with DM  and, 5yrs ago diagnosed with HTN when he went for regular check up for his Diabetes. 3yrs ago pt had pain abdomen after alcohol intake when he was given ryles aspiration and IV fluids  ..? Pancreatitis. 1 year ago.. He was admitted in our hospital because of his uncontro

patient came with shortness of breath, altered sensorium, Grbs HI and urine ketones positive.

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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 in the   log.  Chief complaints;- A 51 year old female patient, is a known case of diabetes mellitus since 20 yrs, and she is initially on OHA and  since 3 years she is on insulin 20 units in the morning and 10 units in evening.  Now she ...Came with cheif complaints of..   Pain in right hypochondrium and epigastrium since 4 days. No h/o blood in vomitus. Patient has loss of appetite since 2 days. Patient didn't take her  Regular dose of insulin , As she didn't eat anything.  No h/o  f

A 60 yr old female patient with shortness of breath and anasarca.

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 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 Chief complaints:- A  60 yr old patient came to the opd with chief complaints of..  Pedal edema since 3 days. Decreased urine output since 3 days. H/o vomitings and loose stools 5 days ago lasted 3 days and subsided.   History of present illness:-  Patient was apparently asymptomatic 15 yrs back.. then she developed She developed.... Shortness of breath;-   since 15 years..   10-15 episodes per year and she was taking medication during the episodes ..   2 months back....  pneumoniti