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Showing posts from March, 2022

57 year old male with fever and bilateral pedal edema

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 57 year old male with fever and bilateral pedal Edema  This is an online E log book to discuss our patient's de-identified health data shared after taking his/her/guardian's signed 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. This E log book also reflects my patient-centered online learning portfolio and your valuable inputs on the comment box A 57 year old male patient with bilateral pedal edema 57 year old male farmer by occupation Came with complaints of fever since 3 days. History of present illness:— Patient was apparently asymptomatic 4 months back then he developed:  Bilateral pedal edema, pitting type, insidious in onset, gradually progressive from ankle to below knee H/o dcreased urine output No h/o palpitations or burning micturition or chest pain. C/o B/L k

55yr old male with dengue

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 55yr/M with dengue CBBLE UDHC SIMILAR CASES THIS IS AN ONLINE E LOG BOOK TO DISCUSS OUR PATIENT'S DE - IDENTIFIED HEALTH DATA SHARED AFTER TAKING HIS / HER /GUARDIAN'S SIGNED 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 CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE BASED INPUT. A 55 yr old male patient came to opd with chief complaints of fever and headache since 5days. History of present illness:— patient was apparently asymptomatic  8 days back,then he developed low grade fever which is intermittent and is not associated with chills and rigors. Fever relieves on medication. Headache is in frontal region and is not associated with vomitings ,giddiness and blurring of vision. No history of malena or hematuria. Past history:— No H/O dm,htn,thyroid,asthma,epilepsy. Family history:— not significant Treatment history:— none Personal history:— 
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59Y/F with hyponatremia CBBLE UDHC SIMILAR CASES THIS IS AN ONLINE E LOG BOOK TO DISCUSS OUR PATIENT'S DE - IDENTIFIED HEALTH DATA SHARED AFTER TAKING HIS / HER /GUARDIAN'S SIGNED 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 CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE BASED INPUT A 59Y/F  brought to the casualty with c/o involuntary movements of B/L upper limbs and lower limbs ,GTCS type , with uprolling of eye, tongue bite, involuntary micturition, lasting for 2.min , with post ictal confusion + ,aura -. H/o vomitings, (4-5 episodes in a day), nonbilious, non projectile, food particle as content H/o pain abdomen since yesterday diffuse type,  No c/o cold, cough, fever, burning micturition, headache ,trauma, Loc. Past history:-N/k/c/o Dm/htn/epilepsy/ CAD/Ba/thyroid disorders. Personal history:- Married Occupation Housewife Diet  - Mixed,