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Showing posts from August, 2022

A 46 year old male with pedal edema and shortness of breath

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31 August 2022  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 . K. Phani Keerthana  Roll no 72. A 46 yr old male resident of suryapet presented with cheif complaints  Of Bilateral pedal edema since 2 months and shortness of breath since 10 days.  HOPI- Past history- Known case of DM since 8 years and on medication HTN - Since 3 years and on medication No H/o asthma epilepsy leprosy CAD Personal history- Diet - mixed Appetite - normal B&b - normal Addictions - Alcohol since 22 yrs every alte...

28 year old male with fever chills and vomiting

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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 . K. Phani Keerthana Roll no 72 A 28 year old male presented with fever chills and vomiting HOPI- Patient was apparently asymptomatic 1 year back then he had burn injury over left great  toe lead to ulcer formation on Routine investigation diagnosed as DM  Since 2 weeks patient had fever which was intermittent  a/w chills and vomiting 3-4 episodes, non bilious,non foul smelling H/o yellowish discoloration of urine Dry cough since 3 days  No h/o abdominal pain   Past history -...

A 14 yr old male with bilateral facial swelling

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  25 August 2022  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 . K. Phani Keerthana Roll no 72 A 14 yr old male regular school going student resident of narketpally presented to opd with chief complaints of fever and pain below ear since 1 day and facial swelling since morning.  HISTORY OF PRESENTING ILLNESS- Patients was  app arently asymptomatic 2 days back. Then he developed fever which was sudden in onset and pain below the ear which was pricking type and aggravated on e eating. He took (Amoxycillin and paracetam...

50year old women with fever and thrombocytopenia

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August 21, 2022 21 August 2022  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 . Phani Keerthana  Roll no 72 A 58 yr old woman farmer by occupation resident of nakrekal presented to op with chief complaints of fever and swelling on both legs History of presenting illness-  Patient was apparently asymptomatic 5 days back. Then she developed fever which was insidious in onset intermittent in nature and relieved on medication(dolo) and increases during night time around 4 AM. 5 days before the onset of fever she was travelling...

A 65 year old with orthopnea

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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 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. Chief complaints  A 65 year old male farmer by occupation came to medicine OPD with chief complaints of shortness of breath and pedal edema since 15 days  HOPI- Patient was apparently asymptomatic 6 years back then he developed high grade fever associated with chills rigor and cough Then he was diagnosed with hypertension and diabetes mellitus No history of nausea ,vomitings and get treated by local RMP by injections ( injections unknown) (oral medication does not relieve the fever) .this type of fever used to reappear every 6-7 months ( not seasonal) and associated with similar symptoms . Then 3 months 15 days ba...