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Showing posts from September, 2022

70 year male with unresponsiveness

PRESENTING COMPLAINTS: A 70-year male was brought to the casualty  on 28/09/2022  with complaints of : • An episode of vomiting at 4 pm. • Breathlessness  • Unresponsiveness since 7 pm. HOPI:  A 70-year male was brought to casualty with a complaints history of binge alcohol intake in the morning; followed by an episode of vomiting at 4 pm followed by complaints of breathlessness which was sudden in onset, and gradually progressive; not associated with chest pain/ palpitation/ orthopnea/ PND. No history of fever/ cough/ cold/ seizure/ burning micturition/ decreased urinary output and head injury. The patient was unresponsive for which he was brought for consultation and admitted for further treatment and evaluation. PAST ILLNESS: The patient had complaints of multiple episodes of breathlessness after exposure to dust for which he sought consultation and was diagnosed to be having  ASTHMA 3 years ago, and started on inhalers. He was diagnosed with Hypertension 2 y...

57-year Male with altered sensorium

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This is an online Blog book to discuss our patients deidentified health data shared after taking his/ her guardians to sign an informed consent Here we discuss our patient problems through a series of inputs from the available Global online community of experts with n aim to solve those patient clinical problems with the current best evidence-based input This Blog also reflects my patient-centred online learning portfolio. Your valuable input on the comment box is welcome I have been given this case to solve in an attempt to understand the topic of " Patient clinical data analysis" to develop my competence in reading and comprehending clinical data including history, clinical findings, and investigations and coming up with a diagnosis and treatment plan. CONSENT AND DEIDENTIFICATION :  The patient and the attendees have been adequately informed about this documentation and the privacy of the patient is being entirely conserved. No identifiers shall be revealed throughout the ...

45 year male with loss of appetite

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This is an online Blog book to discuss our patients deidentified health data shared after taking his/ her guardians to sign an informed consent Here we discuss our patient problems through a series of inputs from the available Global online community of experts with n aim to solve those patient clinical problems with the current best evidence-based input This Blog also reflects my patient-centred online learning portfolio. Your valuable input on the comment box is welcome  I have been given this case to solve in an attempt to understand the topic of " Patient clinical data analysis" to develop my competence in reading and comprehending clinical data including history, clinical findings, investigations and come up with a diagnosis and treatment plan CONSENT AND DEIDENTIFICATION :  The patient and the attendees have been adequately informed about this documentation and the privacy of the patient is being entirely conserved. No identifiers shall be revealed throughout the piece...

39 year female with fever

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This is an online Elog book to discuss our patient deidentified health data shared after taking his/ her guardians sign informed consent Here we discuss our individual patient problems through series of inputs from available Global online community of experts with n aim to solve those patient clinical problem with collect6current best evidence  based input This Elog also reflects my patient centered online learning portfolio. Your valuable inputs on comment box is welcome  I have been given this case to solve in an attempt to understand the topic of " Patient clinical data analysis" to develop my competancy in reading and comprehending clinical data including history, clinical finding, investigations and come up with a  diagnosis and treatment plan CONSENT AND DEIDENTIFICATION :   The patient and the attenders have been adequately informed about this documentation and privacy of the patient is being entirely conserved. No identifiers shall be revealed through out the...

40 year female with fever

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This is an online Elog book to discuss our patient deidentified health data shared after taking his/ her guardians sign informed consent Here we discuss our individual patient problems through series of inputs from available Global online community of experts with n aim to solve those patient clinical problem with collect6current best evidence  based input This Elog also reflects my patient centered online learning portfolio. Your valuable inputs on comment box is welcome  I have been given this case to solve in an attempt to understand the topic of " Patient clinical data analysis" to develop my competancy in reading and comprehending clinical data including history, clinical finding, investigations and come up with a  diagnosis and treatment plan CONSENT AND DEIDENTIFICATION :   The patient and the attenders have been adequately informed about this documentation and privacy of the patient is being entirely conserved. No identifiers shall be revealed through out the...

47 year male with DM

PRESENTING COMPLAINTS: C/O Pain Abdomen since a year. C/O Diminision of vision in both eyes since 6 months. C/O Pain over the small joints of hand and feet since a month. HOPI: A 45 year male presented to the OPD with complaints of epigastric abdominal pain after having a meal, followed by diffuse pain abdomen. Pain Abdomen relieved in between the meals and after having PPI medications. History of gradual painless diminished vision since 7 months, not associated with glare.  History of small joint pains( MCP; DIP Joint) since a month not associated with redness or swelling. PAST ILLNESS: In 2021, he had acute onset of pain abdomen for which he sought for consultation and diagnosed to be having Diabetes Mellitus, for which he was started on life style modification. PERSONAL HISTORY: Moderately built and nourished. Sleep adequate. Appetite normal. Bowel and bladder regular. Occasional Alcoholic. FAMILY HISTORY: Father - Type II Diabetes Mellitus. DRUG HISTORY: He was on TAB. PANTOPRA...