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Showing posts from April, 2023

A 55 year old female with headache, neck pain.

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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     A 55 year old female, farmer by occupation, resident of chityal, came to casualty with chief complaints of headache with neck pain since 15 days. HISTORY OF PRESENTING ILLNESS: Patient was apparently asymptomatic 15 days ago, then she developed headache which was insidious in onset, non progressive, is present most time of the day, non pulsatile, diffuse, dull aching type, radiating to neck. There was restriction of movement in the neck, aggravated on extension of neck, no

A 28 year old male with loss of appetite, hematuria and 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 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     A 28 year old male, resident of  Chityal, daily wage labourer by occupation, came to casualty with chief complaints of loss of appetite since 20 days, red coloured urine since 10 days and swelling of feet since 10 days.  HISTORY OF PRESENTING ILLNESS: Patient was apparently asymptomatic 20 days ago and then he had loss of appetite, insidious in onset, for which he went to hospital and got diagnosed as CLD, splenomegaly with portal hypertension and took medication. After whic

A 45 year old male with pain abdomen and vomitings

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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   A 45 year old male, carpenter by occupation, resident of Chityal, came to OPD with chief complaints of pain in the abdomen since 3 days and vomitings since 1 day. HISTORY OF PRESENTING ILLNESS: Patient was apparently asymptomatic 3 days ago and then developed pain in the epigastrium region, sudden in onset, non progressive, no aggravating factors but relieves on bending forward, pain radiating to his back along the left side. No giddiness, pedal edema, SOB. Patient also compla

A 44 year old male with pedal edema, SOB and decreased urine output.

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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   A 44 year old male, labourer by occupation, resident of nalgonda, came to OPD with chief complaints of swelling of both feet since 1 week, Shortness of breath since 3 days and decreased urine output since 3 days. HISTORY OF PRESENTING ILLNESS: Patient was apparently asymptomatic 1 week ago and then he noticed pedal edema of both the feet which was insidious in onset, gradually progressive, extending upto ankle, pitting type, no aggravating factors and relieved on rest or by

A 60 year old male with SOB and fever.

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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     A 60 year old male, labourer by occupation, resident of Siripuram, came to casualty with chief complaints of shortness of breath since 2 months, fever since 1 week. HISTORY OF PRESENTING ILLNESS: Patient was apparently asymptomatic 2 months ago, then he developed shortness of breath which was insidious in onset, grade IV (MMRC). It was not associated with orthopnea and PND. It was not associated with any chest palpitations, chest tightness. Patient also had fever,intermitten