Jakkoju Bhavani

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 fever high grade since 5days ,  increased bleeding during menses since 3days , increased frequecy of stool since 3days. HISTORY OF PRESENT ILLNESS  HISTORY OF PAST ILLNESS  No known  history of Diabetes,Hypertension, epilepsy, Tuberculosis, Asthma Known c/o of Hypothyroidism since 10 years  On medication Thyronorm -100mg PERSONAL HISTORY  Marital status- Married  Occupation- Housewife Appetite-normal  Diet-nonvegeterian  Bowel-regular  Micturition- normal  No known allergies ,smoking, alcohol  FAMILY HISTORY  No significant famil...

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 painful skin lesions over the soles and fingertips since 4days H/o burning sensation over epigastric region since 1month HISTORY OF PRESENT ILLNESS :- Patient was apparently alright 4days back complaint of painful skin lesions over the soles and fingertips . H/o burning sensation over epigastric region since 1month associated with dry cough and headache.  H/o abdominal tightness.  No H/o fever. H/o decreased appetite since 4years. H/o backpain & Metacarpophalangeal (MCP) joint aggregating on work.  HISTORY OF PAST ILLNESS :- No H/o similar complaints in the past.  H/o m...

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 fever since 1week C/O Cold since 1week  C/O cough since 1week  HISTORY OF PRESENT ILLNESS:- Baby was apparently asymptomatic 1week back When he developed  1) Fever- sudden onset                - moderate grade                - interfebrile period               - not associated with chills/ rigors                - subsided on taking medication                 - associated with excess...

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:- Chest pain in epigastric region since 1week. Pedal edema since 1week . Cough with expectoration since 1week .(mucoid consistency,non blood stained, non foul smelling) Decreased urine output since 1week.  HISTORY OF PRESENT ILLNESS :- Daily routine of the patient : The patient used to get up at around 7/8 in the morning, used to have breakfast  (Rice) and then used to go to drive auto. He then returns home in the evening and then used to consume alcohol daily before eating which was around 180ml and then sleep at around midnight at around 1/2.  His intake of alcohol has increased to ...

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 :- Pedal edema,decreased urine output  HISTORY OF PRESENT ILLNESS:- HISTORY OF PAST ILLNESS:- Chronic kidney disease on maintenance hemodialysis. Diabetes mellitus since 15 years.  Hypertension since 6 years.  PERSONAL HISTORY:- Appetite- normal  Diet- nonveg Bowels- regular  Micturition- normal  No known allergies  No Addictions FAMILY HISTORY :- No significant family history.  GENERAL EXAMINATION:- No pallor, cyanosis, lymphadenopathy, icterus, clubbing of fingers and toes, malnutrition.  Oedema of feet-(+ve) VITALS:- Temp-98°c/f Pulse rate- 100/...

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 ...

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. TREATM...