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Showing posts from March, 2022

A28 YEAR OLD MALE WITH ACUTE PANCREATITIS.

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Name: Y .Navya Sahithi Reddy Roll no: 146 Date : 30-03-2022. This is an online E logbook to discuss our patients' 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 the available global online community of experts intending to solve those patients clinical problems with the collective current best evidence-based inputs. This e-log book also reflects my patient-centred online learning portfolio and your valuable inputs on the comment box are welcome.  A 28 Year old male resident of hyderabad and tailor by occupation came to the opd with  Cheif complaints of: 1.pain in the abdomen 3 days back in the epigastric region. 2.vomitings since 2 days. HOPI : Patient was asymptomatic 3 days ago later  he developed pain in the abdomen which colicky type of pain ,incidious in onset gradually progressive  and it is radiating backwards and aggrevated after taking m...

GENERAL MEDICINE ONLINE CASE DISCUSSION.

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A 19 YEAR OLD MALE WITH VOMITING AND SHORTNESS OF BREATH. Name: Y.Navya sahithi reddy  Roll no: 146 March 29. This is an online E-Log book to discuss our patient's de-identified 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 these patient's clinical problems with collective current best evidence-based inputs. This E-log also reflects my patient-centered online learning portfolio and your valuable inputs in the comment box are welcome. A 19Y old male, resident of Miryalguda studying degree first year came to the OPD on 24th March 2022 with  chief complaints of: 1)Vomitings since 2 days 2)Shortness of breath since afternoon on 24th March 2022. HISTORY OF PRESENT ILLNESS: Patient was apparently asymptomatic 1 and half year ago, then he developed polyuria,polydipsia,nocturia and diagnosed with diabetic ty...

A 86 YEAR OLD MALE WITH HYPONATREMIA

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YNavya sahithi Reddy Roll.no : 146 ICU CASE. March 7 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 CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE BASED INPUT . A 86 year old male patient came to the opd with cheif complaints of 1.Excessive sleepiness since 1 week 2.contraction of all four limbs since 1week 3.slurring of speech since 1 week 4.fever since 4 days. HOPI: Patient was apparently asymptomatic 3months back then he dveloped blackish discolouration of right 4th toe and developed ulcer which is incidious in onset and gradually progressive and toe amputation was suggested.there was decreased intake of food and loss of appetite and unable to identify his family members. 20 days back then he developed  bila...

A69 YR OLD MALE WITH BILATERAL HYDROURETERO NEPHROSIS AND AKI ON CKD

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Name : Y.Navya Sahithi Reddy Roll no: 146 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 CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE BASED INPUT . A 69 year old male who is farmer by occupation came to the opd with cheif complaints of  B/L pedal edema present since 15 days Poor urine stream Nocturia positive with 5-6 times  Burning micturation since 15days Itching all over the body since 7 days Increased frequency with urgency 10 -15 times per day HOPI :  patient was apparently asymptomatic 15 days back and later he developed bilateral pedal pitting type of edema since 15 days and buring micturition .There is increased frequency of urination i.e; 10 to 15times per day and nocturia with 5 to 6 times ...