General medicine

This is an online e-log book to discuss our patient's de-identified health data shared after taking his/her/guardian's 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. 21 November ; 2022 CHIEF COMPLAINT:  55 year old Male patient ,farmer by occupation Came to OPD with chief complaint of burning micturition since 2 days ,pedal edema since 2 months Patient was apparently asymptomatic 6 months back then he developed CKD with pedal edema 3 dialysis completed till now Complaints of burning sensation since 2 days HISTORY OF PAST ILLNESS: K/c/o Hypertension since 20 yrs on medication ( Nicardia 10mg-PO/OD) Not a K/c/o Asthama,Diabetes,epilepsy,TB PERSONAL HISTORY: Appetite-normal Diet-mixed Bowel and bladder Movement-Regular No allergies  Alcoholic occasionally  GENERAL EXAMINATI...

This is an E-log book to discuss our patient's de-identified health data shared after taking his guardian sign 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 problem with collective current best evidence based inputs.This E-log book also reflect my patient centered online learning portfolio. Chief complaint: A 56 year old man came to OPD with the chief complaint of pain in abdomen, abdominal distension and decreased urine output since 4 days. Patient was apparently asymptomatic 4 days back,then he developed pain in abdomen (upper abdominal region).He complained of distension of abdomen since 4 days. No history of nausea, vomitings and constipation.last alcohol consumption 5 days back. History of present illness: Patient is alcoholic  Patient has wrist pain since 2 years. Not a known case of diabetes mellitus, hypertension and CAD. Personal...

 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 October 20,2022 CHIEF COMPLAINT Patient came to casualty with  C/O Backpain and neck pain since 6 years K/C/O DM SINCE 6 years K/C/O HTN SINCE 2 years  HOPI -->Patient was apparently asymptomatic   then she had a c/o polyuria 6yrs back then got on routine investigation , then she was diagnosed with type 2 diabetes mellitus 6 yrs back. -->She is suffering from neck pain (on/off , persistent , radiating to shoulders ) and headache (diffuse type)  since 6 years. -->She is ...

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 April 09, 2022 50 YEAR OLD FEMALE WITH DECREASED URINE OUTPUT Patient came to casualty with  C/O DECREASED URINE OUTPUT SINCE 1 month.  C/O FACIAL PUFFINESS SINCE 1 MONTH  C/O MILD SOB SINCE - 1 MONTH  C/O DECREASED APPETITE SINCE 1 MONTH  HOPI : PATIENT WAS APPARENTLY ASYMPTOMATIC THEN SHE DEVELOPED GIDDINESS AND VOMITINGS (2-3episodes )WENT TO A LOCAL HOSPITAL IN GURUJALA AND THERE SHE WAS DIAGNOSED WITH HYPERTENSION GRADE 3 (180/100 MM HG ) AND THEN SHE WAS TREATED WITH telma ...

March 16, 2022 This is an online e-log book to discuss our patient's de-identified health data shared after taking his/her/guardian's 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.  CHIEF COMPAINT: A 65Y/M cloth weaver by occupation came to OPD this morning (16/03/22) with C/O giddiness since 2 days  HOPI: ▪️Pateint was apparently asymptomatic 15 years back , on regular checkup he was came to be diagnosed with DM-II and HTN. ▪️On oral hypoglycaemic agents for 10 years ▪️4 years back due to trauma ,due to non-healing ulcer irt Lt great toe has been dis articulated , h/o above ankle amputation was done. ▪️ Due to uncontrolled sugar level since then he is on Inj.human mixtard insulin. ▪️c/o Vomitings since 15 days  No c/o Abd pain, Abd distention  No c/o pedal edema ...

 March 08, 2022  This is an online e-log book to discuss our patient's de-identified health data shared after taking his/her/guardian's 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.  CHEIF COMPLAINT: 30Y/F and day worker by occupation came to OPD with C/O pain in abdomen since 3 months with no history of Vomitings,nausea and fever HOPI: Patient was apparently asymptomatic 3 months back. Then one day she developed intermittent pain in right hypochondrium. She went to a local hospital, symptoms did not subside and then came to our casuality where she was diagnosed with cholelithiasis And there is no history of Vomitings and nausea. Normal routine of the patient: She used to get up at 6 in the morning, used to have a cup of tea and did some household work, then at 8 she us...