GM Clinical case

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 came to casuality in altered sensorium since 3 am today.  HISTORY OF PRESENT ILLNESS :  Patient was apparently asymptomatic 20 years back diagnosed as ? DM - I and started on Inj. Mixtard. In the month of APRIL:  Patient went to the hospital with complaints of swelling of feet since 1 month and SOB on exertion since 1 month. She also had Increased frequency of micturition at night (Sr. Cr- 3.6 to 4.2, Hb- 8.5) She was on I

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 50 year old female came to the casualty in hypoactive state. On presentation Patient was conscious with small quantity of froth from mouth and uprolling of eyes present. Vitals were stable, GRBS -42 mg/ dl, immediate 25% dextrose transfusion was done and sensorium improved.  After 25% dextrose transfusion, her GRBS was 150mg/dl.  HISTORY OF PRESENT ILLNESS: Patient was apparently asymptomatic 1 month back, then she developed blebs (? nec