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Showing posts from November, 2022

A45 year old male patients came to causality with chief complaint of fever , abdomen pain , vomiting and lose stool

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CHIEF COMPLAINTS :    A 45 yr old male c/o fever since 5 days, abdominal pain , loose stools and vomitings since yesterday. HOPI: patient was apparently asymptomatic 5 days ago and then developed fever, which is low grade, not associated with chills and rigors and relieved on medication. He complains of diffuse pain abdomen since 11th October morning. He had 3-4 episodes of vomiting on the same day evening, food particles as content and non- bilious in nature .He had loose stools since evening the same day, which is of 5 -6 episodes and so he went to local hospital. He developed weakness of both upper and lower limbs and found to be having low potassium, correction was done and the weakness got improved. He now came with c/o abdominal pain , vomiting and loose stools. PAST HISTORY Not a k/c/o DM, Hypertension, Asthma, epilepsy, CAD, CKD.  He went for a General checkup 6yrs ago, where he was diagnosed as HIV positive. He was on ART .  He met with an accident 3yrs ago and got Right ankle

A 45 year male patients came to causality with chief complaint of yellowish discoloration of sclera

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This is an online e log book to discuss our patient de-identified health data shared after taking his / her / guardians signed informed consent. Here we discuss our individual patients problems through series of inputs from available global online community of experts with an aim to solve those patients clinical problem with collective current best evident based input. This E blog also reflects my patient centered online learning portfolio and your valuable inputs on the comment box is welcome. I have been given this case to solve in an attempt to understand the topic of " patient clinical data analysis" to develop my competency in reading and comprehending clinical data including history, clinical findings, investigations and come up with diagnosis and treatment plan. A 40 year old male who is a coconut vender came to casualty with c/o : • constipation since 10 days • Yellowish discoloration of sclera and urine from 3 days. • cough(dry cough) since 2 days. • throat pain sinc

A65 year old female patients came to causality with chief complaint of stomach while taking food

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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.  CHEIF COMPLAINT   : A 65yr old female patient  complaints of stomach  pain on taking food since 1month HISTORY  OF PRESENT ILLNESS  : A 65yr old female patient  who is aaganwadi worker by occupation was apparently  asymptomatic  1month ago then she noticed stomach pain  on taking food and relived on vomiting  and medication.  HISTORY OF PAST ILLNESS  : H /o hypertension since 20 yrs ( on medication ) No h/o asthma ,diabetes ,epilepsy, thyroid   H/o similar complaint 5yrs back FAMILY HISTORY  :  no relevant family history  PERSONAL HISTORY  :  Married  Diet : mixed Appetite : decreased  Sleep: adequate  Bowe

A40 years old male patients came to causality with chief complaint of weakness in right upper limb

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This is an e-LOG depicting patient's de-identified data centered approach for learning medicine. This log has been created after taking consent from patient and his family. Here we discuss about patient's problems with a series of inputs with an aim to solve them. CHEIF COMPLAINT :  45 yr old male came to the casuality with the cheif complaint of weakness of right upper and lower limbs and slight deviation of mouth towards left in the morning HISTORY OF PRESENT ILLNESS : A 45 yr old male patient , construction worker by  Occupation was apparently asymptomatic 2 days back and then developed 2 to 3 episodes of vomitings , food particles as contents and non blood stained .and then again asymptomatic till yesterday morning and then developed weakness of right upper and lower limb and mild deviation of mouth towards left . patients also experienced headache , blurring of vision and giddiness. ---> patient normally wakes up at 6 am and HISTORY OF PAST ILLNESS: History of trauma 1m

A 60 year old male patient came to causality complaint of fever with chill and headache

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This is an e-LOG depicting patient's de-identified data centered approach for learning medicine. This log has been created after taking consent from patient and his family. Here we discuss about patient's problems with a series of inputs with an aim to solve them. CHEIF COMPLAINT  :  A 60 yr old Male patient came to the causality  with a complaint of fever with chils and headache since 1week HISTORY OF PRESENT ILLNESS  : A 60 yr old male patient who is farmer by occupation  was apparently asymptomatic 1week back then he noticed fever with chills ,headache from1week and relived on taking medication and he visited other hospital before coming here they gave a report positive for widal test Uncontrolled  diabetes ( 2days) HISTORY  OF  PAST ILLNESS  : H/o diabetes ( on medication  since18 yrs) No h/o hypertension, asthma ,tb epilepsy,thyroid  PERSONAL HISTORY: Married Diet : vegetarian  Sleep : adequate Allergies : no Bowel movements: regular  Micturation : burning (1week) Addictio

A52 old male patient came to causality with chief complaint of fever and lose appetite

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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.  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.  A 52 year old male patient  came to the causality with the complaint of fever and decreased  appetite since 10 days HISTORY OF PRESENT  ILLNESS  : A 52 yr old male patient who is farmer by occupation  was apparently asymptomatic 1m