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Showing posts from December, 2022

32 year old female with vomitings and abdominal pain

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 This is an online E logbook 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 an available global online community of experts to solve those patients 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 are welcome. 32 year old female farmer by occupation came to general medicine OPD with chief complaints of vomitings (4 to 5 episodes/ day) since 2 days associated with abdominal pain. HISTORY OF PRESENTING ILLNESS  A Patient was apparently asymptomatic few days ago.On 22/12/2022 around 10 pm she had 2 episodes of vomiting after 4 hours of food intake. On 23/12/2022 in the morning hours, another 2 episodes of vomiting after intake of milk and coconut water ,few more episodes of vomiting till she came to the

35 year old male with distended abdomen

 This is an online E logbook 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 an available global online community of experts to solve those patients 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 are welcome. Chronic liver disease  A 35 years old unmarried male,who is a lorry driver by occupation works for every 5 days in a week,resident of anthampet came to opd yesterday with complaints of pain abdomen since 10days,yellowish discolouration of urine since 8 days,distension of abdomen since 6 days,bilateral lower limb swelling since 5 days . History of present illness  Patient was apparantly assymptomatic 5months ago and then developed,a non healing wound over right foot(not healed for 1 month),for w

50 year old female with fever and loss of weight

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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. A 50 YEAR OLD FEMALE RESIDENT OF NALGONDA CAME FOR DIALYSIS  HISTORY OF PRESENTING ILLNESS: PATIENT WAS APPARENTLY ASYMPTOMATIC 4 MONTHS AGO THEN SHE DEVELOPED FEVER WHICH IS LOW GRADE CONTINOUS NOT ASSOCIATED WITH CHILLS AND RIGORS NOT RELIEVED WITH MEDICATIONS HISTORY OF LOSS OF WEIGHT SINCE 4 MONTHS  PATIENT WAS DIAGNOSED WITH CERVICAL CANCER STAGE3B AT OUTSIDE HOSPITAL ON OCTOBER 26TH H/O OF VOMITING[5-6 EPISODES] NON PROJECTILE NON BILIOUS FOOD AS CONTENT 20 DAYS AGO BURNING MICTURATION - SINCE 20 DAYS PAST HISTORY: K/C/O HYPERTENSION SINCE 2YEARS AND IS ON REGULAR MEDICATION NOT A KNOWN CASE OF DIABETES, EPILEPSY