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60 F with facial puffiness, pedal edema, b/l knee joints pain

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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 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. A 60 year old female who used to be to a farmer came with the complaints of  b/l knee joint pain since 3 years,  facial puffiness since 3 months, b/l pedal edema since 1 week History of presenting illness  Patient was apparently alright 3 years ago then she developed — b/l knee joint pain since 3 years It is aggravated on walking and standing, relieved on taking medication and taking rest She has been taking medication for pain frequently 3-4 days in a week both oral and injectabl

Diabetic ketoacidosis

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  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 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. A 13 year old girl studying 9th class came with the complaints of shortness of breath, vomitings since today afternoon  She also complains of rash over abdomen since 3 days She is a known case of Type 1 diabetes since 3 years 3 years ago she had polyuria for which she was taken to the hospital by her grandmother and was diagnosed with type 1 Diabetes and was kept on insulin 4U of HAI and 4U of NPH in the morning and night and 2U of HAI and 2U of NPH in the afternoon She was at h

A 26 year old male with fever, headche, vomitings and loose stools

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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 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.  26 year old male came with c/o Fever since 1 week c/o generalised weakness and headache since 1 week c/o vomitings since 3 days c/o loose stools since 3 days History of presenting illness: Patient was apparently alright 1week ago then he developed fever which is high grade, intermittent, associated with chills and rigor. He was in Orissa while he developed fever then he returned to his home 2 days later. He also had headache and generalised weakness since 1 week He developed vomi

A 55 year old male with slurring of speech, difficulty in swallowing

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  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 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. A 55 year old male who was a mechanic by occupation came to the OPD on 31/5/23 with the complaints of slurring of speech, difficulty in swallowing since morning  Also c/o cough since 10 days  History of presenting illness: Patient was apparently asymptomatic 10 days ago when he developed cough which is productive (attendant has informed that patient was having difficulty to spit out the sputum) He developed slurring of speech and difficulty in swallowing since morning. No H/o fe