Medicine e log

 CBBLE UDHC SIMILAR CASES   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  55 year old female who is a tea seller by occupation came with complaints of incomplete voiding of urine since 10 days HOPI:  Patient was apparently asymptomatic 10 years ago then she started having c/o incomplete micturition and increased frequency of micturition since 4 years  c/o burning micturition since 3 years and visited many hospitals , reduced on using medication , 4 episodes /month , releiving in 1-2 days , relieved on taking plenty of oral fluids  - presently on some homeopathic medication  Past history: n/k/c/o Tb , bronchial asthma , cad, htn, diabetes ,epilepsy  Surgica

CBBLE UDHC SIMILAR CASES   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 47 year old lorry driver  came with c/o pain abdomen since today 3 am (23/2/2022). Hopi: Patient was apparently  asymptomatic 14 years back, went to hospital for regular check up and was diagnosed with DM -2  and since then he is on OHA’s , Gilmi M2 po/bd.  10 years back on routine check up he came to be diagnosed with HTN and he is on TELMA - H / OD .  20 years back diagnosed with renal calculi ,pain- operated 4.5 years back , patient c/o abdominal full ness , associated with  tightness , squeezing type , relieved with vomitings  associated with  vomitings  bilious  associated with

  90Y MALE WITH RIGHT SIDED DEVIATION OF MOUTH 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  Patient was brought to casualty with complaints of deviation of mouth to right since yesterday morning,c/o slurring of speech since yesterday HOPI:  A 90Y/M who was a farmer by occupation (staying at home since 10-15Y) Patient was apparently asymptomatic 1 yr back. Patient c/o nocturia (10-12x) overnight and went to local hospital and diagnosed with DM-2  and since then he is on regular medication .Since yesterday patient woke  up from sleep. Patient complaints of deviation of mouth to right side and slurring of speech since yesterday. Outside BP :190/100mmhg No c/

  A 61 year old male came to OPD with chief complaints of pain in abdomen since 10 days , distension of abdomen since 10 days , fever since 2 days.   History of presenting illness:  Pain is diffuse, progressive, dragging type  and is relieved by sleeping sideways.   abdominal distension associated with edema of legs(pitting type) fever since 2 days low grade continuous associated with chills and rigor.  General examination :   Presence of icterus   Presence of pedal edema  Abdominal Examination :  Inspection:  Abdomen is symmetrically distended with full flanks  Umbilicus is everted with slight horizontal slit   Abdominal girth is 84cms   Palpation: Superficial palpation: Localised tenderness in the right hypochondrium Deep palpation: liver is tender, smooth,firm,regular margins, moving with respiration , not able to insuate fingers under the coastal margin. Percussion :  Liver span:16 cms  No shifting dullness Investigations:  1. Complete blood picture 2.LFT Provisional diagnosis:  Mu

Long case presentation  Consent is taken from patient and family members   A 45 year old male resident of Nalgonda who is a labourer by occupation presented  with chief complaints of :  1)shortness of breath since 10 days   2)Cough since 9 days 3)Pedal edema since 9days  HISTORY OF PRESENTING ILLNESS: Patient was apparently asymptomatic 10 days ago,then developed   -Grade III  shortness of breath which was insidious in onset ,non progressive,aggravated by walking  and strenous work  and dressing , relieved by sitting              -There is history of orthopnea                         - There is no history of PND  -Dry Cough  since 9days which is insidious in onset , non progressive ,no aggrevating and relieving factors  -Grade III bilateral Pedal edema  since 9days which in insidious in onset , gradually progressive,pitting type , no aggravating and no relieving factors           -History of burning micturition and oliguria since 5 days  -There is no history of sweating , palpitations