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  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/