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Showing posts from December, 2021

A case of 35 year old male

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This is an online E log book to discuss our patient's de-identified health data shared after taking his 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 35 year old male patient came to casuality with the chief complaints of  Unresponsiveness since 4am morning Yellowish discoloration of eyes since 6 months Abdominal distension since 1 week Pedal edema since 1 week HISTORY OF PRESENT ILLNESS: Patient was apparently asymptomatic  6 yrs (2014) back then he developed yellowish discoloration of eyes , bilateral pedal odema which in pitting in nature and abdominal distension went to local hospital and diagnosed with Chronic liver disease. Patient consumed alcohol since 20 years Since then patient was on irregular medication and continued taking alcohol intermittently. Hist

56 year old male with urinary tract infection

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This is an online E-log book to discuss our patients de-identified health data shared after taking his 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 patient's with collective current best evidence based inputs. DEC 2nd,2021 56 YEAR OLD MALE WITH URINARY TRACT INFECTION CASE DISCUSSION:- A 56 year old male ,presented to the OPD on 1st December with chief complaints ofChief complaints of  ->High grade fever since 3 days  -> Burning micturation since 3 days  ->Lower back pain since 3 days HISTORY OF PRESENT ILLNESS:-  ->4 yrs ago Pt. had fever. Fever was low garde ,associated with chills .  ->Burning micturition since 4 years,which is on and off.Burning is present only during voiding.  ->4 years ago he was admitted in our hospital and diagnosed with Diabetes mellitus and he underwent dialysis once. ->he is on medication for DM since 2 yr

General medicine case discussion

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65YEAR OLD MALE WITH ANASARCA 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 65YEAR OLD MALE WITH ANASARCA 65 year old male came to the casuality on at 3:30pm on 8/11/21 with c/o b/l pedal edema since 10 days  c/o shortness of breath since 4  days c/o facial puffiness since 2 days   c/o decreased appetite since 2 days c/o decreased urine output  Patient was  apparently asymptomatic 3 years ago, then he developed Rt sided hemiparesis and was diagnosed with CVA and was on antiplatelets on and off. He was also diagnosed with DM at tha