Posts

GENERAL MEDICINE

Image
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 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 comment box is welcome Chief complaint: A 53 year old male came to OPD with complaint of involuntary shaking of hands since 2 months. History of present illness: Patient was apparently asymptomatic  one year back .Then he gradually developed tremors of left hand . The intensity  of tremors gradually increased  from past 2 months tremors decreased on doing physical activity and increased on rest which is of intermittent type(on and off)he is able to hold objects with right hand but not able to do activity
Post a Comment
Read more

GENERAL MEDICINE -A 70 year old male

Image
 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. Chief complaint: 70 year old male patient came to OPD with chief complaint of loss of speech since one day  History of present illness: patient was asymptomatic one month ago then he had fever nd chills not associated with nausea, vomiting,loose stools.Investigations were done diagnosed with pulmonary tuberculosis deranged lft , anti tubercular drugs were prescribed and discharged Patient came to follow up to hospital 2days ago he was prescribed new medication due to deranged lft rft Si
Post a Comment
Read more

general medicine case

Image
60 year old male patient , who works as a daily wage worker hailing from Palem presented to the hospital with- • reduced micturition and defecation since 2 months. • burning sensation on micturition since 2 months. HISTORY OF PRESENT ILLNESS • Patient was apparently asymptomatic 2 month back. • The patient is a retired coolie who does work in the day. • He wakes up at 6am, roams around his village, and he take rest at around 10pm. • 2 weeks after Dusshera (2 months back), patient suffered with a dizziness and cough which he attributes to "cold". • Patient was taken to an ENT specialist who ruled him clear of any problem. • The same day, the patient noticed an acute decrease in his defecation and micturition. • When patient was taken to the hospital in Nakrekal where he was diagnosed with Renal failure.  • He was put on Maintainance Hemodialysis since then. • Patient recollects that after 5 days of dialysis, patient's micturition and defecation was somewhat restored.  •
Post a Comment
Read more

55 year old female complaints of fever decreased appetite since one month breathlessness since one week, vomitings and loose stools since 3 days

Image
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. CHIEF COMPLAINTS: Pt complains of fever,decreased appetite since 1 month, Breathlessness since 1 week,vomitings and loose stools since 3 days .  HOPI: Patient was apparently asymptomatic 3 months back. Then she had multiple swellings in front of the left ear, for which she developed fever which was lowgrade, intermittent, no evening rise of temp, ass with decreased appetite since 1 month. She then had vomitings which was non bilious and non projectile, containing food particles. She
Post a Comment
Read more