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Showing posts from October, 2021

Case history -8

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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 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 28 year old female has come to casualty with chief complaints of abdominal distention since 5 days. HISTORY OF PAST ILLNESS: Patient was diagnosed with polyuria and type 2 diabetes 6 months and was given a medication. Patient had pregnancy 5 months back and Inj.human insulin mixtard was given and she had a abortion at 2 months of gestation. She had pain and stiffness in the metacarpal joint and proximal interpharngeal joint which was increased after the doing the household work. She was detected to be antinuclear antibody (autoimmunity) in another hospital. She had been on medication since she was on anti

Case history-7

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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 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 62 year old male as come to casualty with complaint of fever and chills since 4 days . HISTORY OF PRESENT ILLNESS: Patient complaints of generalised headache since 4 days . Patient also complaints of generalised body pains since 4 days . No history of cough and cold. No history of vomiting and loose stools  Patient has yellowish urine. PAST HISTORY: Patient has no hypertension , diabetes, asthma and epilepsy . Patient has no tuberculosis and CKD . PERSONAL HISTORY: Diet : mixed. Appitite : normal. Bowel and bladder movement: normal Micturition: normal. Addictions: patient has a habit of drinking of alcoho

Case history -6

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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 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  50 year old female has come to casualty with chief complaints of pain in abdomen and vomiting for 2 hours and also complaints of loose stools for 2 hours. HISTORY OF PRESENT ILLNESS: Patient was apparently well and asymptomatic 2 hours back and  then developed pain in abdomen mainly more in right iliac fossa.Pain was gradually progressive with sudden onset. Patient complaint of 2 episodes of vomiting which is non bolus, non blood tinted. Patient complaint of diabetic foot. HISTORY OF PAST ILLNESS: Patient was undergoes to dialysis 15 days back and patient complaints of diabeties mellitus and hypertens

Case history-5

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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 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  50 year old female has come to casualty with shortness of breath and swelling in lower limbs (pedal edema) since 4 days . Patient complaints of decrease in urine output since 4 days. PAST HISTORY : Patient compliant of  hypertension since 7 years. No history of diabetes, asthma, Tuberculosis, coronary artery disease. No history of blood transfusion and atherosclerosis. PERSONAL HISTORY: Appetite : normal  Diet : mixed. Bowel and bladder movement: normal. Addictions : patient takes alcohol regularly. FAMILY HISTORY: No history of diabetes, hypertension, asthma, tuberculosis in the family. No history of