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Showing posts from July, 2022

55 year old male with chest pain since 6 months

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  This is an a online e log book to discuss our patient de-identified health data shared after taking his / her / guardians 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 patients clinical problem with collective current best evident based input. Thi s E blog also reflects my patient centered online learning portfolio and your valuable inputs 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 competency in reading and comprehending clinical data including history, clinical findings, investigations and come up with diagnosis and treatment plan. CASE: A 55 year old male patient resident of peddavoora came to casuality to chief complaints of chest pain since 6 months and shortness of breath since 6 months HISTORY OF PRESENTING ILLNESS: Patient was ...

64 year old male with vomiting and burning micturition since 1 month

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Date of Admission:22/07/2022 A 64 yr old male resident of Jaikaisaram choutuppal farmer by occupation came to OPD with chief complaints of pain in right loin, vomiting and burning micturition since 1 month. History of present illness: Patient was apparently asymptomatic 10yrs back then developed pain in the right loin for which he was diagnosed to having renal stone and was operated for it later after 3 yrs he developed bilateral loin pain and was diagnosed having bilateral renal stones and at was operated after a gap of 1 month.and later after 3 yrs and 4yrs back He developed midline swelling later which is diagnosed as hernia and mesh was placed later after 1 yr developed diffuse abdominal pain which he went to an Hospital,endoscopy was Done and diagnosed as intestinal ulcers and managed it conservatively this time he was diagnosed with Diabetes and hypertension.And 1 yr back he had Generalised weakness and Sob on exertion for which he went Hospital and diagnosed with having low Hb a...

75 year old male with involuntary movements of upper and lower limbs

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DATE: 22 July 2022 This is an a online e log book to discuss our patient de-identified health data shared after taking his / her / guardians 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 patients clinical problem with collective current best evident based input. Thi s E blog also reflects my patient centered online learning portfolio and your valuable inputs 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 competency in reading and comprehending clinical data including history, clinical findings, investigations and come up with diagnosis and treatment plan. CASE: A 75 year old male patient from pochampally farmer by occupation presented to the opd with chief complaints of involuntary movements of both upper and lower limbs from 3 days HOPI: P...

65 year old female with fever and abdominal pain.

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A 65-year-old female, housewife by occupation, resident of choutuppal was brought to casualty with chief complaints of  1. Fever since 3 days 2. Abdominal pain since 3 days  3. Vomiting since 1 day 4. Shortness of breath since 1 day The patient was apparently asymptomatic 3 days then she developed fever. The fever was high-grade intermittent associated with decreased food intake not associated with chills and rigors, relieved on taking medication.  She developed abdominal pain in the epigastric region since 3 days not associated with food patterns relieved on medication.  4 episodes of vomiting. The content was undigested food, no known aggravating factors, and relieved to medication. Shortness of breath grade 2 since morning but it is relieved now. DAILY ROUTINE: She wakes up around 6 am does daily household chores eats breakfast at 8 am then she doesn't do anything significant she spends time with people around her then she haves her lunch around 1 pm. She sleeps f...