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Showing posts from August, 2022

A 58 year old woman came with fever and uncontrolled sugars

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This is 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 58year old woman who works in an Anganwadi center came from Gurrampur with complaints of fever, generalised body pains since 20days History of presenting illness  She was apparently asymptomatic 7 years back, then she had generalised weakness and went to a hospital was diagnosed with diabetes and was started on medication(GLIMIPERIDE and METFORMIN) She has fever, high grade with evening rise in temperature and with chills. She also has generalised bodypains. Then she went to a hosp

A 25year old woman with fever

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This is 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 25year old woman, a homemaker from Miryalaguda came with complaints of fever since 12days, myalgia since 10days, cough since 8days History of presenting illness She was apparently asymptomatic 12days ago, then she developed fever which was intermittent associated with chills, with evening rise of temperature, associated with productive cough with white coloured sputum , for which she went to RMP and was given medication(unknown) She again had fever spike for which she came to our h

A 67year old man with scrotal swelling

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This is 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 67 year old man who is a daily labourer from Nagaramwith complaints of scrotal swelling since 15days, fever and vomitings since 3days and difficulty in micturition History of presenting illness: He was apparently asymptomatic 15days back then he developed bilateral scrotal swelling associated with pain and discharge. He also complaints of fever since 3days which is intermittent, high grade with chills. He has vomitings 2episodes a day, non projectile, bilious. He has dribbling of u

A 18year old with Shortness of breath, Right sided hearing loss

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This is 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. An 18year old girl from Suryapet came with the complaints of shortness of breath since 2/8/22 morning which increased by the evening.  She also has abdominal pain in right upper quadrant and vomitings. History of presenting illness: Patient was apparently asymptomatic 3months ago.  Then she developed shortness of breath (grade 4) and pedal edema upto the level of below the knees(pitting type) and facial puffiness. She also had fever and vomitings for which she was taken to a hospital

A 54year old woman with c/o Shortness of breath and generalised weakness

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This is 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 54 year old female patient, housewife from Munugodu came with complaints of Shortness of breath and generalised weakness from 2days History of presenting illness Patient was apparently asymptomatic 3yrs back then she had joint pains and went to a local hospital and was found to have hyperthyroidism and was kept on medication(Carbimazole). In December 2021, she had fever, generalised weakness and shortness of breath and she went to a local hospital and was found to have Hb 3gm% and