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General medicine Case 8

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  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...

General medicine case 7

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  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 h...

General medicine case 6

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 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...

General medicine case 5

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A 55 years old male patient with bilateral pedal edema "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: A 55 year old male patient farmer by occupation with bilateral pedal edema and high fever(associated with chills) since since 12 days. Date of admission:20/09/2021 History of present illness Patient was apparently asymptomatic 12 days before the standing illness.Then the patient was presented to the Casualty with bilateral pedal edema and high fever since 12 days. Patient had pre-renal AKI on CKD secondary to...

General medicine case 4

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45 YEAR OLD PATIENT WITH ALTERED SENSORIUM  Sep 20,2021 *ICU admission under Unit 6* "The patient history was taken from the psychiatry notes written by Dr.Raghunath sir,Dr.Somera mam and Dr.Manasa mam". "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: A 45 year old patient farmer by occupation was presented to the Casualty with chief complaint of altered sensorium since 1 week secondary to hyponatremia?? Alcohol withdrawal?? History of present illness: Patient was apparently asymptomatic 1 week back ...

General medicine case-3

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8th September 2021 "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." A 21 year old female presented to the OPD with chief complaints of fever(intermittent), generalised weakness, body pains since 4 months. Cough since one month. History of present illness The patient was apparently asymptomatic 4 months back before standing illness. The patient was presented to the casualty approximately 15 days back with fever which is intermittent, generalised weakness of the body, body pains since 4 months, cough since 1 month and ...

General medicine case-2

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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." A 27 year old female presented to the OPD with chief complaints of fever, severe and persistent weakness of the body since 5 days.  History of present illness Patient was apparently asymptomatic 5 days back before standing illness. Then, the patient was presented to the casualty with the complaints of fever and severe weakness of the body since 5 days.  Initially the patient had fever 5 days back and had taken the normal medication for the same. Then the patient was no...