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Showing posts from June, 2022

45yr old male with diabetic foot

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.   A 45year old male patient, resident of AP lingotam, was presented to the casualty with chief complaints of CHIEF COMPLAINTS  Excessive sweating for 1 day Altered sensorium for 1 day HISTORY OF PRESENTING ILLNESS the patient was apparently asymptomatic 10 years ago when he was diagnosed with DM. Since then he is on medication, OHAs.  6years ago, he developed an ulcer on his left foot, little toe, which got infected.it became gangrenous because of which they amputated the little toe. 8 months ago he developed similar leisons again in left foot and 4th toe was amputated. 3 months back, the patient was pricked by a thorn

26 yr old male with acute pancreatitis

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.   A 26 yr old male, resident of chityala, car driver by occupation, was presented to the casualty with chief complaints of CHIEF COMPLAINTS: Abdominal pain since 5 days  Vomitings for 5 days HISTORY OF PRESENT ILLNESS  the patient was apparently asymptomatic 4 months ago when he consumed alcohol regularly for a week following which he developed abdominal pain associated with vomitings.then went to a hospital where he was diagnosed with acute pancreatitis. Later he was fine and was discharged.but then he started consuming toddy regularly, 1L per day. 5 days ago, he developed pain in right epigastric and hypochondriac reg

45 yr old female with paraplegia

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.  A 45 year old female, resident of miryalaguda, farmer by occupation was presented to the  casualty with chief complaint of CHIEF COMPLAINTS: Abdominal, tightness and distension  since 1 day Decreased sensation and weakness  in both legs Decreased urine output  HISTORY OF PRESENTING ILLNESS: The patient was apparently asymptomatic 1 year ago when she developed fever and severe stabbing type of pain in the back for which she visited a hospital in khammam, where she was told to have a spinal cord problem and that she needed a surgery, but due to covid situations and lockdown, surgery  couldn’t not be done  and she was sen

A 65 yr old female with ascites

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.   A 65 year old female, resident of suryapet , who used to be a farmer by occupation was presented to the opd with chief complaints of CHIEF COMPLAINTS: Fever since 15 days SOB since 15 days Decreased urine output since 15 days HISTORY OF PRESENTING ILLNESS the patient was apparently asymptomatic 20 days ago when she developed fever and decreased urine output for whivh she visited a local hospital and was on medication. The fever subsided.4 days later her urine output decreased and gradually developed abdominal distension over a period of 5 days. For this she went to a hospital where she was told that she has a kidney p

35 yr old male with SOB

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.  A 35 yr old male patient, bartender by occupation and a chronic alcoholic was presented to casualty. CHIEF COMPLAINTS: Shortness of breath since 10 days Cough since 2 days  HISTORY OF PRESENTING ILLNESS: The patient was apparently asymptomatic 2 months ago, when he started developing shortness of breath while lying down and on exertion. He also complained of chest pain  1 month ago, they started visiting a local RMP, where he was given an injection? in each visit after which the symptoms used to subside for 10-15days. After this, they visited a doctor and few investigations were done following which he was told to have

65 YR OLD FEMALE WITH SOB

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.  A 65 yr old female Home maker by occupation resident of Vangamarthi was presented to the OPD with chief complaints of : Pedal oedema since 10 days  decreased urine output since one week On and off fever since one week Shortness of breath since two days HISTORY OF PRESENTING ILLNESS the patient was apparently asymptomatic four years ago when she developed prolapsed uterus  for which she underwent hysterectomy And then she developed high grade fever. She was advised for some surgery? DJ stenting but patient denied it and is on conservative treatment.  She has been taking NSA IDs for joint pain since four years The patien