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PEDAL EDEMA AND KNEE PAINS

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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 patients 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. This Elog also reflects my patient centered online learning portfolio. I have been given this case to solve in an attempt to understand the topic of “patient clinical data analysis” to develop my competency in reading and comprehending clinical data including history, clinical findings, investigations, and come up with a diagnosis and treatment plan. Pedal edema  since 1 year B/l knee pain since 1 year Bloating sensation since 4 to 5 months of abdomen Ear discharge since 1 year Patina was apparently asymptomatic 1 year ago then he had complaints of pedal edema upto the knees ,insidious in on set,gradually prog...

65 YEAR OLD MALE WITH SHORTNESS OF BREATH

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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 patients 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. This E blog also reflects my patient centered online learning portfolio. I have been given this case to solve in an attempt to understand the topic of " patient clinical data analysis" to develop my competency in reading and comprehending clinical data including history, clinical findings investigations and come up with diagnosis and treatment plan. Icu HOD-DR.RAKESH BISWAS  PG-DR.KRANTHI  PG-DR PRACHETAN  65 year old male farmer by occupation came with chief complaints of  Pedal edema since 2 days Facial puffiness since 2 days Shortness of breath since 2 days History of presenting illness  -Patie...

CASUALTY CASE

 CASUALTY BLOG Patient came to casualty with complaints of Shortness of breath  since 2 am HISTORY OF PRESENT ILLNESS  Patient was apparently asymptomatic  10 days back then dhe was taken to local hospital because of  generalised weakness  She also developed Shortness of breath-Grade 4 MMRC Insidious in onset gradually progressive aggravated  on lying down No relieving factors  Complains of b/l pedal edema ,pitting typr extended upto knee joint and no aggrevating or relieving factors  Complains of decreased urine output  since 3 to 3days (related to decreased oral intake) C/o chest tightness ,facial puffiness since 1 week No c/o chest pain, palpitations, giddiness, sweating  No c/oof tingling sensation of hands and feet Patient is K/C/O Diabetes mellitus type 2 since 15years on regular medication  Using Tab Glicazide 60mg OD K/C/ O  Hypertension since 15 years on regular medication  ( Tab clinidipine 10mg OD) K/c/ o...

CASUALITY CASE

 CASUALTY CASE Patient came to casualty with chief complaints of  loose stools and vomitings since 6 hours Pain abdomen  since 6 hours HISTORY OF PRESENT ILLNESS  Patient was  apparently normal 6 hours back then she developed loose stools 4 to 5 episodes  Watery non foulsmelling,non mucoid,non bile stained associated with 1 episode of vomiting-watery non projectile, non bilious  with food particles as content  Pain abdomen-squeezing type present  in all quadrants  of abdomen  No C/O fever ,SOB ,burning micturition, chest pain, palpitation  PAST HISTORY  Not a K/C/O Diabetes mellitus, Hypertension, TB, Bronchial Asthma,thyroid disorders ON EXAMINATION  Patient is conscious coherent and coperative  No signs of Pallor, cyanosis clubbing lymphadenopathy Icterus  BP -100/60 MM HG PR -87 BPM RR-16 CPM SPO2 -100 % ON RA TREATMENT  1.INJ.ZOFER 4MG IV STAT 2.INJ PAN 40 MG IV STAT 3.IVF 1 PINT NS @100 ML PER HOUR...

General medicine final year practical examination

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58 year old male with Pedal edema.   This is an E log book to discuss our patient's de-identified health data shared after taking his guardian's signed informed consent. Here we discuss our individual patient 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 comments in comment box are most welcomed  I have been given this case to solve in an attempt to understand the topic of  "Patient clinical data analysis"  to develop my competency I reading and comprehending clinical data including history, clinical findings, investigations and come up with a diagnosis and treatment plan.   Short case S.Neeraja Reddy H.tno 1701006170 58 year old farmer by farmer byoccupation resident of suryapet  came with chief complaints of  E...

General Medicine final practical examination

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   70 year old male with Shortness of breath   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. This e-log book also reflects my patient centered online learning portfolio and your valuable inputs on comment box is welcome . I’ve been given this case to solve in an attempt to understand the topic of “patient clinical data analysis" to develop my competency in reading and comprehending clinical data including history, clinical findings, investigations, and come up with diagnosis and treatment plan. S.Neeraja Reddy  H.tno 1701006170 Long case General medicine final practical  70 year old male resident of nalgonda  farmer by occupation came wi...

GENERAL MEDICINE CASE DISCUSSION

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  41 year old  male with itching and scaling.  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. This e-log book also reflects my patient centered online learning portfolio and your valuable inputs on comment box is welcome . I’ve been given this case to solve in an attempt to understand the topic of “patient clinical data analysis" to develop my competency in reading and comprehending clinical data including history, clinical findings, investigations, and come up with diagnosis and treatment plan.   S.Neeraja Reddy  Roll no 125 9th semester 41 year old male resident of choutuppal came with chief complaints  of itching and scaling all over t...