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Showing posts from March, 2022

32yr old male with fever and headache

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32 yr old male with fever and headache 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 32yr old male was brought to casualty with  --fever since 1 week. -Headache since  5 days HISTORY OF PRESENTING ILLNESS: Patient was apparently asymptomatic 1 week back. Then he developed fever which is moderate to high grade, intermittent ( on and off). He visited a local  RMP and took medication. There was mild relief of symptoms. Since 4 days he is having continous high grade fever which was not subsiding with medication. Fever was associa...

39 year old male with CKD on maintainence hemodialysis

This is an online e log book to discuss our patient identified health data shared after taking his/her guardian signed informed consent. Here we discuss our individual patient problems through a series of inputs from available global online community of experts with a aim to solve those patients clinical problem with collective current best evidence based inputs.This blog also reflects my patient centered online learning portfolio and valuable inputs on the comments box is welcome.I have been given this case to solve in an attempts to understand the topic of patient clinical data analysis, to develop my competency in reading and comprehending clinical data including history, clinical finding, investigation. 39yr old male who is farmer by occupation came to the hospital on 8/3/22 with chief complaints of:  -pedal edema since 8/3/22 morning - shortness of breath since 8/3/22 morning grade I Presenting illness: Patient was apparently asymptomatic 2yrs back.Then he developed pedal edem...

50yr old male with complaints of B/L knee pain

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50 yr Male Farmer By Occupation  Came to Casualty With Cheif Complaints of Pain both knees since 6 days HOPI :- Patient Was Apparently Asymptomatic 4 years Back , Then He Developed  Knee joint Pains,bilateral ,which is Insidious In Onset, Gradually Progressive over years,and similar complaints On & off ,went to Rural Community Practitioner And Given Medicine and got relived.  The Patient Had Been Taking pain management Medication whenever he has Joint Pains,Swelling was also present at the knee and Ankle joints during during Pain whenever he gets pain. The patient was able to do his Routine farming Activities for 2 years . Since 2 years the patient stopped  doing  farming works and used to stay at home and was able to take care of his daily activities.  Aggravated during walking and relived with rest and also with medication.  Pain was not completely relieved On taking medication but patient used to feel better. Usually pain is migratory type,unila...