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Showing posts from November, 2022

A 55 years old male c/o pedal edema, burning micturition

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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 patient's 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 the comment box. Chief Complaints: C/o pedal edema since 5-6months C/o burning micturition since 2days History of Present Illness: Patient is apparently asymptomatic 6 months ago then he developed CKD with pedal edema 3hemodialysis is done till now, burning micturition since 2days(after foleys insertion) History of Past illness: H/o Hypertension since 20yrs (on regular medication) No h/o DM,asthma, epilepsy, TB, CAD, cervical lymphadenopathy Personal History: Married Diet: mixed Occupation: daily wa

A 70year old male patient came to the OPD with the cheif complaint of increase in blood pressure, decrease in urine output since 15days, involuntary movements of B/L limbs

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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 patient's 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 the comment box. A 70year old male patient came to the OPD with the cheif complaint of increase in blood pressure, decrease in urine output since 15days, involuntary movements of B/L limbs since 12pm on 20/11/2022. • cheif complaint:-  increase in blood pressure, decrease in urine output since 15days, involuntary movements of B/L limbs since 12pm on 20/11/2022.  • History of present illness:- patient was apparently asymptomatic 12 days back then he noticed decreased urine output, and involuntary mov

A 50yrs old female c/o fever, vomiting, burning micturition,SOB

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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 patient's 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 the comment box. Chief Complaints: C/O Fever since 10days, Burning micturition since 10days, vomitings since 10days (5-6 episodes),Grade 3 SOB since 10days History of Present Illness: Patient is apparently asymptomatic 10days back then she noticed fever low grade,continuous type not associated with chills and rigors H/o vomiting non projectile,non bilious,food as content C/o SOB Grade 3 since 3days C/o burning micturition after foleys insertion at local hospital History of Past illness: H/o hyperten

A 45yr Female c/o fever and vomitings since 1 day.

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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 patient's 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 the comment box. Chief Complaints: Patient complains of fever and vomiting since 1 day. History of Present Illness: Patient was apparently asymptomatic 4years back then developed right loin Pain and fever for which she visited Some hospital and diagnosed with Right Pyonephrosis and Right Nephrectomy was done and now she complains of fever highgrade intermittent and vomitings since 1 day. History of Past illness: H/o DM,BP Not known case of CAD,CVD and Asthma Personal History: Diet: Mixed Sleep: Adeq

A 60years old Male c/o fever, chills,rigors, loss of 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 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. This E log book also reflects my patient-centered online learning portfolio and your valuable inputs on the comment box. Chief Complaints: Pt complaints of fever and chills since 5 days and constipation since 4 days. History of Present Illness: Patient is asymptomatic since 5 days ago then developed low grade fever associated with chills and rigors.  C/o decreased appetite since 5 days. C/o constipation since 4days. No H/o bleeding and dark colored stools. Increased frequency of micturition since 1 month. Headache, weakness on and off. History of Past illness: No H/o DM, BP, TB, CAD,CVD, Asthma. Perso

A 58years old male patient with chief complaint of Shortness of breath

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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 patient's 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 the comment box. Chief Complaints:Shortness of breath since morning History of Present Illness:        Patient is apparently asymptomatic 5yrs back then he developed right side hemiplegia for which he took medication and also diagnosed to have type 2 diabetes mellitus and also hypertension after 3yrs he was operated for hernia After 1yr he had severe back pain,went to hospital,Xray was done and diagnosed with AKI on CKD with emphysematous pyelonephritis underwent 3 sessions of hemodialysis today he