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Showing posts from April, 2022

A 58year Old Male Patient With CKD On MHD

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THIS IS AN ONLINE E LOGBOOK 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 FROM THE AVAILABLE GLOBAL ONLINE COMMUNITY OF EXPERTS WITH AN AIM TO SOLVE THOSE CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE-BASED INPUT  CHEIF COMPLAINTS:- Patient came with c/o pedal edema since 10 days  Not associated with shortness of breath  HISTORY OF PRESENT ILLNESS:- Patient was apparently asymptomatic 10 days back, then developed pedal edema (pitting type) upto ankle. Not associated with shortness of breath or facial puffiness.  Last Dialysis session-5/04/2022. No H/O Palpitations,blurring of vision. HISTORY OF PAST ILLNESS:- No K/c/o Hypertension, Diabetes mellitus, epilepsy, TB,cerebrovascular accident, coronary artery disease PERSONAL HISTORY :- Married  Occupation-Farmer Appetite-normal  Diet- non vegetarian  Bowels- regular  Mict

A 1 year Old Male Child With Seizure Activity

THIS IS AN ONLINE E LOGBOOK 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 FROM THE AVAILABLE GLOBAL ONLINE COMMUNITY OF EXPERTS WITH AN AIM TO SOLVE THOSE CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE-BASED INPUT  CHEIF COMPLAINTS:- A 1year old male child with seizure activity of 2 episodes since 2 days HISTORY OF PRESENT ILLNESS :- Patient was apparently normal 2 days back developed seizure like activity associated with unrolling of eyes and loss of conscious. Post ictal drowsiness Positive.  And the episodes lasted for 3mins. No H/O fever,cough, cold, vomiting, loose stools.  Cry while passing urine.  No K/O covid No H/O  excessive cry or decreased acceptance of feeds. HISTORY OF PAST ILLNESS:- H/O similar complaints at 9months,11 months,12 months, 16 months total of 6 episodes. Unrolling of eyes. TREATMENT HISTORY

A 60years Old Patient With Dengue Fever

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THIS IS AN ONLINE E LOGBOOK 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 FROM THE AVAILABLE GLOBAL ONLINE COMMUNITY OF EXPERTS WITH AN AIM TO SOLVE THOSE CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE-BASED INPUT  CHEIF COMPLAINTS:- C/O back pain since 20 days  C/O fever since 10 days  C/O burning Micturition since 10 days  HISTORY OF PRESENT ILLNESS :- Patient admitted in hospital on 24-3-2022 at 5:40pm. Patient was apparently asymptomatic 20 days ago. Then developed back pain- dragging type, aggravated on sitting, relieved with medication and rest.  C/O fever since 10 days- high grade, continous,  relieved with medication (PCM - TID). H/O burning micturition since 10 days . H/O vomiting 2-3 episodes in 10 days ( non billions, non projectile). HISTORY OF PAST ILLNESS :- H/O headache- generalized since 2 days  No H/O