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Showing posts from September, 2022

65M with Abdominal distension

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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 is welcome." A 65yr old male patient, water plant supervisor by occupation came to casualty with  Sob since 7 days Abdominal distension since 15 days Pedal edema since 6 months, aggrevated since 7 days.  6 episodes of loose stools since 1 day History of presenting illness patient was apparently asymptomatic 6 months back, then he developed pedal edema (pitting type) which was relieved on elevation.  Patient then developed shortness of breath ( on exertion, with orthopnea) sinc

26 year old male with SOB

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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.    26 year old male patient barber by occupation came to the casuality with chief complaints of :  •  shortness of breath since afternoon  HOPI  :  Patient was apparently asymptomatic 2 months ago  patient has a history of alcohol consumption since 2 y ears , 1-2 glasses of beer occassionally  patient complaints of shortness of breath, grade 2, on and off since 2 months.  Current episode of grade 4 Sob started since afternoon. • Last binge of alcohol yesterday morning   • No intake of eating food since

26 year old male with Interstitial Pancreatitis

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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 based inputs. Patient is a 26 year old male, car driver by occupation came to the casualty at 1am with complaints of :   • pain abdomen since 1 day • 4-5 episodes of vomitings History of presenting illness Patient was aymptomatic 6 months back. Then he developed pain abdomen not associated with vomitings not admitted to PE hospital. Subsided on taking medication (augmentin, Tramadol)  Now today at 1am the patient developed pain abdomen sudden in onset and associated with  2 episodes of vomitings which were bilious.  Had similar complaints in the past around 12 years back.  History of past illness He was a k/c/o acute pancreatitis, d

61 yo male with Bicytopenia, CAP

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DEIDENTIFICATION :  The privacy of the patient is being entirely conserved. No identifiers shall be revealed through out the piece of work whatsoever. CONSENT :  An informed consent has been taken from the patient in the presence of the family attenders and other witnesses as well and the document has been conserved securely for future references Documentation : is being done on 6th of september 2022 (Updates will be done later in the future with dates mentioned for the same)   My patient is a 60 year old man , resident of ramulapeta, who is a daily wage labourer in construction work.  1. SOB on exertion ( SOB after walking for <500m ) since 30 days  2. dry cough since 2-3 days 3. H/O fever 2 weeks back lasted for 1 week 4. C/O burning sensation in chest since 3 days 5. c/ O involuntary movements of Rt. upperarm since 3 years History of presenting Illness Pt. was asymptomatic till 2 weeks back then he had developed fever which lasted for 1 week and which was relieved on medicati