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Showing posts from December, 2023

55 year old with generalised body swelling since 15 days

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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. Complaints:- C/o generalised body swelling since 15 days C/o shortness of breath since 10 days C/o decreased urine output since 10 days C/o fever since 2 days History of presenting illness:- Patient was apparently asymptomatic 15 days back then noticed generalised body swelling (Anasarca) since then C/0 shortness of breath since 10 days, insidious in onset, gradually progressive, from grade I to grade III, orthopnea present, No PND C/o decreased urine output since 10 days, burning mictur

67 year old male with sob since 10 days,pedal and facial edema since 8 days

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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 67 year old Male R/O Devarakonda , came to the casualty on 2nd December 2023 with complaints of Shortness of breath since 10 days and pedal & facial  edema since 8 days  HISTORY OF PRESENT ILLNESS: Patient  came in drowsy but arousable state to the casualty . He was apparently asymptomatic 10 days back , then he developed Shortness of breath which is insidious in onset, gradually progressive in nature, aggravating on exertion and relieved on taking rest, progressed from grade II to

A 63 yr old male with fever and burning micturition since one month

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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. Complaints :- Complaints of increased frequency of passage of urine since one month Vomiting Since one day History of presenting illness Patient was apparently a symptomatic one month back then he developed burning micturition which was insidious in onset, no aggravating and relieving factors   fever was insidious in onset, gradually progressive ,intermittent , associated with chills and rigors, low grade, relieved on medication Complaints of vomiting since one day, non projectile, non b

A 65 year old male patient with complaints of fever and 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 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. Complaints :- Patient was brought to casualty with complaints of fever since one week  breathlessness since one day   history of presenting illness:- Patient was apparently symptomatic one week back then he developed cough and cold which was insidious in onset associated with sputum, which was greenish in color and mucoid in nature,no aggravating factors no relieving factors then he developed the fever which was insidious onset , gradually progressive, it is of high grade, associated wit