82 U. Ramya

  A 45 year old female patient with repeated episodes of vomitings "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." Date of admission:20th October 2021 Case: A 45 year old female patient with repeated episodes of vomitings since 2 days. History of present illness: Patient was apparently asymptomatic 5 years back before standing illness.Then patient was admitted to the Casualty with the chief of repeated episodes of vomitings since 2 days i.e. 5-6 times/day 5 days before the admission into the hospital patient had tak

  A 75 year old female patient with COPD Case A 75 year old female patient with Shortness of breath since 2 years. History of present illness: Patient was apparently asymptomatic 2 years back before the standing illness.Then the patient was presented to casualty with severe shortness of breath since 7 days,fever since 10 days. No c/o chest pain,chest tightness,haemoptysis, abdominal pain, abdominal distension. Also cough with expectoration with scanty sputum since 4 months. Wheezing+ve Patient was diagnosed with asthma 2-3 years back.Medications were taken for the same. -No H/o pedal edema - No H/o decreased urine output -No H/o heamaturia -H/o loss of appetite since 4 months -H/o weight loss. Past history K/c/o HTN since 5 years. For which TELMA 40 mg  PO OD Similar complaint in the past:2 years back. (Seasonal variations+ve) Patient was on betamethasone since 2 years. No history of DM/Epilepsy/TB/Thyroid disorders The patient had undergone tubectomy at middle age. Personal history  D

 Sep 4th,2021   A 49 year old female patient with Shortness of breath "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." Date of admission:29/09/2021 Case A 49 year old female patient with Shortness of breath, facial puffiness, pedal edema, fever since 3 months. History of present illness Patient was apparently asymptomatic 3 months back before standing illness.Then the patient was admitted to the Casualty with the chief complaints of Shortness of breath, facial puffiness,pedal edema and fever since 3 months. Patient h