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Showing posts from July, 2023

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