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Showing posts from December, 2021

General Medicine case 3

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This is an 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 p atients clinical problem with collective current best evident based input.   Date of admission:29/12/2021 A 45 year old who is mechanic by occupation present to opd with chief complaint of SOB , loss of appetite since 20 days and low backache since 5 days. History of present illness:   Patient was apparently asymptomatic 35days back, then he developed shortness of breath for which he went to a local hospital after further investigation he was diagnosed with chronic kidney disease and underwent 4 sessions of dialysis.Then referred I/V/O dialysis. He was diagnosed with hypertension 1 month back and is on regular medication( Tab. Nicardia 10mg od) since then.   Past history: Not a known case of

General Medicine case 2

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  This is an 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 p atients clinical problem with collective current best evident based input.   Date of admission- December 17, 2021 A 29 years old male patient came with chief complaints of pain in abdomen since 4 months with frequent vomiting. H/o present illness- Patient was apparently asymptomatic 4 months back and then he had a burning type of pain in abdomen(epigastrium) radiating to the chest and then with frequent vomitings, 2-3 times per day after taking meals. He had a burning micturition and while passing stools. So whenever he had a pain he takes tablet pan 40mg medicine and feels relief.  In 2016 patient visited to hospital with similar complaints of burning type of pain in abdomen and vomiting w

General Medicine Case 1

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This is an 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.   Date of admission:8/12/2021 33 year old male came to the casuality with chief complaints of : Abdominal distension since 2 months B/L pedal edema since 2 months Scrotal swelling since 2 months  HOPI :  33 year old male got married 9 years back , separated from his wife and children since 5 years due to family issues .  After separation with his wife  ,patient started taking half a bottle of whisky every day . 3 years back he had history of abdominal distension and pedal edema for which he visited local hospital and was diagnosed as liver disease and  used medication for a while and stopped  , he was diagnosed as diabe