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 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 37 year old lorry driver  came with c/o pain abdomen since today 5 am. 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 ...

  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 left since yesterday morning,c/o slurring of speech since yesterday HOPI:  A 80Y/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 left side and slurring of speech since yesterday. Outside BP :190/100mmhg No c/o involuntary micturition/defecatio...

New Admission Unit-5 ICU Bed 6 --- 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 . 50 year old male brought to casuality with the chief complaints of altered sensorium since yesterday evening (since 15 hours). History of one episode of vomiting yesterday morning. Patient was apparently asymptomatic 10 years back and then he developed giddiness and weakness on routine checkup, he was diagnosed with diabetes. 4 months back, patient had an injury to left foot with small ulcer initially and then it progressed leading to amputation of three times of left foot. Now, yesterday patient went to his brother's house for party and had a meal of mutton curry along w...

 GENERAL MEDICINE FINAL PRACTICAL CASE: Short case : "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.  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 clinical data including history, clinical findings, investigations and come up with a diagnosis and treatment plan CASE A 56yr old male , sales manager by occupation , resident of miryalaguda ,came to the opd with cheif complaints of easy fatiguability on excertion since 30 days HISTORY OF PRESENTING ILLNESS Patient was apparently asymptomatic 30 days back then he developed fatigue...

GENERAL MEDICINE FINAL PRACTICAL CASE: Long case : "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.  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 clinical data including history, clinical findings, investigations and come up with a diagnosis and treatment plan.  CASE :  A 55year old male, toddy climber by occupation came with complaints of pain in abdomen and fever. CHIEF COMPLAINTS :   A 55 year old male patient, toddy climber by occupation, resident of miryalguda, came with complaints of :  1) Pain abdomen since 10 days. 2) ...