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Showing posts from September, 2021

Case history 04

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 Case presentation 04 Date of admission: 19-09-2021 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 patient's clinical problems with collective current best evidence based inputs.  A 17 yr old boy came to OPD with chief complaints of  fever , vomiting since 4days and abdominal pain since 1 day. HISTORY OF PRESENT ILLNESS: Patient was asymptomatic 4 days back then patient complaints of fever which is insidious in onset, intermittent associated with chills, rigor, body pains and generalised weakness. Patient complaints of vomiting (2, 3 episodes/day) which is non-bilious, non projectile with food and water as content with abdominal discomfort and pain. Patient also experience abdominal pain which is squeezing type, non- radiati

Case history 03

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Case history GM 03   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 DATE OF ADMISSION:  04- September-2021 A 70 year old patient, farmer by occupation came to OPD with chief complaints of Shortness of breath since 20 days Leg pain on walking since 20 days Fever and weakness since 3 days HISTORY OF PRESENT ILLNESS: Patient was apparently asymptomatic 20 days back. Then he developed shortness of breath which on walking for short distance ( grade 3) since 20days. Patient complaints of left leg pain on walking since 20days. There is pedal edema of left leg and foot which is pitting type 8 days back.           There is history of trauma to left leg 3mo

Case history 02

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 General medicine Case 2 August 23, 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 patient's clinical problems with collective current best evidence based inputs A 72 yr old male  patient  agriculture by occupation presented to the opd with chief complaint of pedal edema , shortness of breath and decreased urine output since 20 days  HISTORY OF PRESENT ILLNESS Patient was apparently asymptomatic 3 yrs back. Patient complaints of shortness of breath, decreased urine output,and pedal edema since 20 days Patient noticed the swelling in his leg and has joint pains and he visited local hospital and medication was taken at that time patient was diagnosed with diabetes and hypertension.  After that patient patient suffers with