Posts

A 53yr old male patient with seizures

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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 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.  Date of admission-28th October  A 53 year old male patient farmer by occupation came to the Casuality with chief complaints of vomitings since 1day History of present illness  Daily routine of the patient: Patient wokes up at 6am in the morning,have his tea,goes to the field and do the farm work returns home and have his breakfast (rice) at 9am.He is a MPTC member and village who solves public issues.So,he goes to the town and returns home in the evening and have his dinner at 8pm(skips his lunch daily). Patient was apparently asymptomatic one day back.On the day before his admission into the hospital he at...

A 21yr old male patient with diabetic ketoacidosis

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 4th October 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." Chief complaint   A 21year old male patient presented to opd with complaints of fever since 1week History of present illness Patient was apparently asymptomatic 1week back.He,then developed fever with chills which is insidious in onset,low grade and intermittent which relieved on medication History of vomtings-1 episode,projectile and bilious type Shortness of breath is present  History of weight loss is present  Fatigue is present  No history of co...

A 40yr old male patient with liver abscess

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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 Chief complaint   A 40year old male patient farmer by occupation presented to opd with complaints of pain in the abdomen associated with fever since 15days History of present illness   Patient was apparently asymptomatic 15days back.He,then developed pain in the abdomen-right hypochondriac region which is insidious,pricking type gradually progressive and radiating to the back.Patient also complains of fever since 15 days -high grade which is continuous associated with chills and ri...

A 65yr old male patient with acute on chronic necrotising pancreatitis

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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 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.  Date of admission-September 15,2021 Chief complaint  A 65year old male patient complaints of vomtings and severe stomach pain since one day History of present illness  Patient was apparently asymptomatic one month back.Then he had pedal edema,shortness of breath after doing minimal works and gradually developed distended abdomen.Since one day patient suffers from bilious vomtings of 10-12 episodes( first 4 episodes are white in colour and later are bilious)non-projectile type food as content with severe stomach pain.He also developed pain in the umbilicus radiating type to lower abdomen.On the day of admiss...

A 45 yr old male patient with chronic kidney disease

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 This is an online elog book to discuss our patients de-identified health data shared after taking his/her or guardians signed informed consent.Here,we discuss our individual patients problem through series of input from available global online community of experts with an aim to solve those patients clinical problems with collective current best evidence based inputs. Chief complaint  A 45 year old male patient complaints of decreased urine output,swelling in the legs since 3years,SOB since 5days History of present illness  Patient was apparently asymptomatic 3years back.He went to local doctor complaining of weight gain and generalized edma,pitting type.He is on dialysis and medication since 3years.Suddenly he developed SOB since 5days which aggrevates on lying down position. Past history  He is a known case of hypertension since 2years,No-asthma,diabetes mellitus,tuberculosis,surgeries Personal history  Diet-vegetarian  Normal apetite Bowel and bladder m...