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Showing posts from November, 2021

63/M with Ckd on MHD

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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 patients 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 comment box is welcome. CASE SCENARIO: A 63 year old male came for dialysis HISTORY OF PRESENT ILLNESS: Patient was apparently normal 3 months ago, then he had c/o dribbling of urine, swelling of arms and legs, facial puffiness, nausea, vomiting, constipation and abdominal discomfort for which he went to a hospital in khamman where investigations were done.  1/9/2021 RBS: 215 mg/dl Blood urea: 109  serum creatinine: 5.3 Uric acid: 8.9 albumin: 3.2 CUE: sugar ++ He was advised admission but he denied an

A 41 year old Male with stomach distension

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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. A 41 year old male patient of suryapet came to OPD with chief complaints of  abdominal distension and SOB on eating or working ,speech distortion ,joint pains while walking. CHIEF COMPLAINTS Patient compla

2nd internal examination

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 1. Anatomical and etiologic localisation for hemiparesis and further management. 2. Etiology and pathogenesis clinical features management complication of acute pancreatitis?  3. Dengue fever clinical features and complications 5. Cushing syndrome 6. Cardiogenic pulmonary edema 7. Rhematoid arthritis 9. Heart failure 10. Ascites 11. Pyrexia of unknown origin 12. Drug induced liver injury 13. Evalution of back ache 14. Renal artery stenosis 15. Acute kidney injury 17. Mircovascular and macrovascular complications of diabetes 18. Light's criteria 19. Metabolic acidosis 20. Iron deficiency anemia

64 year old man resident of bengal, is a farmer by occupation came with the complaints of yellowish discolortion of eyes since 1 month.

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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.  A 64 year old man resident of bengal, is a farmer by occupation came with the complaints of yellowish discolortion of eyes  since 1 month. HISTORY OF PRESENT ILLNESS History of low grade fever, intermittent,