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Showing posts from August, 2023

44 male with jaundice, sleeplessness,knee pains , loss of appetite since one month

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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. This 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 The patient/ attender was informed the purpose of the information being acquired. An informed consent was taken from patient/ attender and there is omission of information that was requested to be omitted.  Pat

70year old male with Acute excebaration copd? With cor pulmonale, with type one renal failure with grade 2 prostatomegaly

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Pt came with c/o of fever since 5 days and Sob since 1 day, decreased urine output since 5 days Patient was apparently asymptomatic and then developed fever which is intermittent, increased during night not associated with chills and rigor and relivied on medication And sob grade 2 mmrc since one day now progressed to grade 3, no relieving factors, not associated with wheeze, no h/o chest pain chest tightness, hemoptysis, orthopnea, pnd Past history: 10 years back he had episodes of cough with sputum  episodes of cough lasting for 5 to 10 minutes and used inhaler for it on and off for one year 2 years back he was admitted in the hospital for abdominal tightness and decreased urine output and got admitted in the hospital and treated( bph?) H/o of loss of consciousness 1 year back and then got admitted at nalgonda private hospital and got treatment No past h/o tb ,loose of weight, N/k/c/o DM , HTN, , epilepsy, bronchial asthama, Known smoker from 50 years, one pack per day( beedi) K/c/

38 old female with inability to open mouth, dysphagia since 2 months, pancytopenia and paraphyarngeal abscess

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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. This 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 The patient/ attender was informed the purpose of the information being acquired. An informed consent was taken from patient/ attender and there is omission of information that was requested to be omitted.  Pat