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Showing posts from August, 2021

40/M with Community acquired pneumonia

MEDICINE CASE DISCUSSION 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. CASE SCENARIO:  40 yr old male, post office employee, came to the casuality with complaints of Fever since 10 days  Dry Cough since 6 days  Loose stools since 6 days  Burning Micturition since 6 days  HISTORY OF PRESENT ILLNESS: Patient was apparently asymptomatic 7 days back, then he had Fever which was low grade, intermittent, not associated with chills and rigor, relieved on medication.  Dry cough since 3 days w/o diurnal variation....

35/M viral pyrexia with thrombocytopenia (dengue NS1)

MEDICINE CASE DISCUSSION 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. CASE SCENARIO  A 35 yr old male presented with  Fever since 5 days. Loose stools 4 days back. HISTORY OF PRESENT ILLNESS  Patient was apparently asymptomatic five days ago, then he developed fever which was low grade, intermittent, relieved on taking medication, not associated with chills and rigor. C/o loose stools - 6 episodes, non-watery, not blood stained, four days ago which has subsided now. No h/o vomitings, pain abdomen No h/o chest pain, palp...

30/F with Psychogenic Vomitings

MEDICINE CASE DISCUSSION 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. CASE SCENARIO: A 30 year old female, anganwadi worker, came with complaints of  Vomiting since 30 days.  Headache since 28 days.  HISTORY OF PRESENT ILLNESS: The patient was apparantly asymptomatic 30 days ago, then she developed vomitings , 5-6 episodes per day which were non-projectile, non-bilious, not blood stained, content was food particles and non-foul smelling, not relieving with medication and associated with abdominal discomfort which preced...

Fever with Thrombocytopenia- Dengue NS1 antigen+

MEDICINE CASE DISCUSSION 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. CASE SCENARIO: A 45 yr old female patient came to the opd with complaints of  - Fever since 15 days - Headache since 15 days  - Body pains since 15 days - Abdominal tightness since 15 days HISTORY OF PRESENT ILLNESS: Patient was apparently asymptomatic 15 days back, then she developed fever: intermittent, high grade, associated with chills. Headache: diffuse, dull aching type c/o generalised body pains and abdominal tightness.  She went to a local hospit...

cortical sinus thrombosis

MEDICINE CASE DISCUSSION 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.  9th August, 2021 CASE SCENARIO A 35 yr old female banker came to the casualty with complaints of fever since 4 days. Headache since 2 days.  Nausea since 1 day.  Involuntary movements of right upper limb and lower limb since 2 hours.  HISTORY OF PRESENT ILLNESS  Patient was apparently alright 4 days ago then she had fever which was low grade, intermittent, relieves with medication, not associated with chills and rigors.  2 days ago she de...

75/M with Uremic Encephalopathy with AKI on CKD

  MEDICINE CASE DISCUSSION 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.  August 05, 2021 UREMIC ENCEPHALOPATHY WITH AKI ON CKD WITH THIRD DEGREE HEART BLOCK   CASE SCENARIO: A 75 year old male patient came to  the casuality in unresponsive state since 1 hour. Patient was having fever since 10 days . HISTORY OF PRESENT ILLNESS: The patient was apparently asymptomatic 10 days back then he had insidious onset of fever, low grade intermittent, relieved with medication, not associated with any chills and rigors. Yesterday ...