Medical cases

This is an online e log book to discuss patients de identified data after taking his or her signature in informed consent form . Here we discuss our individual patient problems through series of input from available global online community of experts with an aim to solve patient clinical Problems with collective current best evidence based inputs. Thia e log book also reflects my patient centered online portfolio and your valuable inputs in comments.  A 59 year old patient came to opd with fever since 10 days  History of present illness  Patient was asymptomatic 10 days back later developed fever with evening rise of temperaturenot assciated with chills, rigors relieved on medication.  Genralized weakness, loss of weight , no chest pain, chest tightness, haemoptysis, wheeze, palpitations , brrathlesness. 3 episodes of vomitings for 5  days used medication and resolved. Loose stools 1 episode resolved on medication.  History of past illness History of carcin...

This is an online e log book to discuss our patients deidentified health data after taking his / her guardian signature in informed consent. Here we discuss our individual patient problems through series of input from available global online community of experts with an aim 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 comments.  A 65 year old male came to the hospital with fever ,dry cough, loss of appetite, generalized body weakness since four days .  History of present illness  Patient was apparently asymptomatic one month back then had fever on and off since then early  relieved on medication with no diurnal variation which is associated with chills and high grade fever and cough since 7 days associated with sputum Which is white in colour and had loss of appetite and generalized weakness since then and also...

This is an online E log book to discuss our patients de-identified health data shared after taking his/her/guardian 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 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 comments. A 28 year old female came to hospital with pain in the right hypochondrium and umbilical region since 7 months . History of present illness Patient was apparently asymptomatic a 7months back and later developed pain in right hypochondrium which is of cholelithiasis the pain is not radiating the pain is relieved by taking medication . No history of fever, vomiting, constipation, burning micturition. History of past illness  No history of diabetes mellitus , hypertension, asthma, TB.  Personal histor...

This is an onlin E log book to discuss our patients de-identified health data shared after taking his/her/guardian 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 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 comments .   A 60 year old female came with the chief complaint of mass over perianal region since 6 months History of present illness  Patient was apparently asymptomatic 6 months back then she developed the small swelling of size 1×2 cm of insidious onset and slowly proffused to present size of 3×3 cm not associated with pain fever and vomiting constipation burning sensation  History of past illness No history of similar complaints either pain  No know history of hypertension , DM , asthm...

This is an online E log book to discuss Our patients de-identified health data shared after taking his/her/guardian 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 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  A 36 year old male was admitted i/v/o left lower rib pain , uncontrolled sugar , Ulcer in left  toe  History of presenting illness  Patient was apparently asymptomatic 7 years ago .when he had an episode of giddiness and fallen he went to an hospital . Where he was diagnosed with diabetes mellitus .He started with OHAs he used to get his regular checkup done and FBS and PLBS were under control with metformin. He later shifted to GLIMI M1 and GLIMI MV2 2-3 months back .  3 years ago...

 50 year old female came to the hospital with chief complaint of dengue NS1 antigen positive Past illness No history of surgery , asthma, TB ,CAD, epilepsy , Diabetes mellitus  Present illness No cold, cough , Shortness of breath  No B/I Pedal edema , no headache , no giddiness Personal history  Normal appetite  Bowel movement - normal  Bladder movement - normal  No addictions  Sleep - adequate  Family history  No diabetes , Hypertension, heart disease , stroke , cancer , TB , asthma  General examination  Patient is conscious , Coherent , Co- operative  There are no signs of icterus , clubbing , pallor , cyanosis , Lymphadenopathy  Vitals  Temperature - 98.8 C/F  Pulse rate - 80bpm  Respiratory rate - 18/min  Bp - 110/70 Spo2 - 96  Systemic examination  CVS  No thrills  Cardiac sounds - S1 ,S2  heard  Respiratory system  Position of trachea - Central  Breath ...

50 year old female with c/o of dov in both eye since 2 months . History of present illness Apparently asymptomatic 2 months back then developed dov in both eyes which was insidious in onset , gradually progressive . History of past illness  HTN +  DM -  Asthma -  Personal history  Married  Occupation - Farmer  Appetite - normal Diet - mixed  Bowel - regular Micturition - normal  No know allergies No habits or addictions  Family history  Not significant  Physical examination No pallor, icterus, cyanosis, clubbing of fingers ,lymphadenopathy, malnutrition . No oedma of feet . Temperature - 98.6 C /F Pulse rate - 80/min Respiration rate - 17/min BP - 130/90 mmHg Spo2 - 99% Systemic examination Abdominal examination Shape - scaphoid  No tenderness No palpable mass Normal hernial orifices No free fluid  Ni bruits Liver and spleen are not palpable  Bowel sound - yes Respiratory system No dyspnoea , wheeze Position of t...