Posts

UNCONTROLLED SUGARS??

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" 63 years old male patient , farmer by occupation came to ophthal op with C/O diminision of vision in left eye since 2 years which was gradually progressive. HOPI :- Patient was apparently asymptomatic 2 years back.Then he developed diminision of vision in left eye which was insidious in onset and gradually progressive. PAST HISTORY :- H/O SICE in Right eye 4 years back in KIMS NKP. H/O Diabetes mellitus 4 years back TREATMENT: 1.STRICT DIABETIC DIET 2.Human Actrapid Insulin s/c  3.GR...

DRUG INDUCED HEPATITIS SECONDARY TO BORDERLINE LEPROMATOUS LEPROSY DAPSONE SYNDROME

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" 31 year old male who is a photographer by occupation came to the casuality with complaints of Yellowish discolouration of sclera since 4 days ,Fever since 2 days  which is  insidious on onset , gradually progressive , subsided on medication. C/o Nausea and vomitings since 2 days Non -bilious and non projectile , food particle as content and was taken to local hospital in view of vomitings .  Patient was apparently asymptomatic 17 years back then his mom observed hypopigmented p...

20 year old female with Anemia?

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" A 20 yrs old female was brought to the casualty with the C/O easy fatigability since 3 months. C/O Shortness of breath (grade 3 ) since 3 months. C/O loss of appetite since 3 months. HOPI :- Patient was apparently asymptomatic 3 months ago,then she developed Shortness of breath (grade 3)which is not associated with orthopnea /PND. C/O easy fatigability since 3 months. C/O loss of appetite since 3 months. Not associated with melena, haematemesis,pica,weight loss. PAST HISTORY: N...

Gm

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" A 26 year old male farmer by occupation came with chief complaints of  Fever since 7 days Pedal edema since 7 days Loss of appetite since 5 days HOPI - Patient was apparently asymptomatic 1 week back ,then he had one episode of low grade fever,relieved with medication,associated with generalised body pains ,not associated with cough, burning micturition. Then developed pedal edema ,intially till ankle , gradually progressive ,pitting type. C/o loss of appetite since 4-5 days as...

Alcoholic Hepatitis and AKI secondary to gastroenteritis

Image
Alcoholic Hepatitis and aki sec to gastroenteritis   This is 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  A 43 yr old male ,resident of nalgonda came to casuality with chief complaints of loose stools since 20 days    Pedal edema since 20 days    Abdominal distension since 20 days     History of presenting illness :    Patient was apparently asymptomatic 20 days back then he developed  Loose stools watery in consistency 20 episodes per day  sudden onset of swelling of bilateral lower limbs and gradually progressive up to bilateral knee,pitting type, non tender,  associated with abdominal distension which ...