Posts

Showing posts from November, 2022

A 55 year old female patient came with chief complaint of shortness of breath

Image
A 55Yr old female with shortness of breath This is an online e log book to discuss our patient de-identified health data shared after taking his / her / guardians signed informed consent. Here we discuss our individual patients problems through series of inputs from available global online community of experts with an aim to solve those patients clinical problem with collective current best evident based input. This E blog also reflects my patient centered online learning portfolio and your valuable inputs on the comment box is welcome. I have 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 comprehending clinical data including history, clinical findings, investigations and come up with diagnosis and treatment plan. Cheif complaint: A 55yr old female patient residence of choutupal and agricultural by occupation with cheif complaint ofshortness of breath since 1 month and had an e

A 30 year old male

Image
A 30 year old male November 23, 2022  This is an online e-log platform to discuss case scenario of a patient with their guardians permission.  A 30 year old male patient resident of Gudipally came to the casualty on 23/11/22 of altered behaviour since yesterday   Involuntary micturition since yesterday Giddiness since morning HOPI. Patient was apparently asymptomatic till 12 am last night then he started behaving abnormally which was sudden in onset in terms of not .responding when spoken to,irrelevant talk which is repetitive and self talking.patient is irritable every few minutes and abuses family members at times. Patient had history of alcohol consumption since 10 years currently 6 to 10 units daily throughout day,reports craving for alcohol, sweating and trembling when he doesn't consume alcohol.patient stopped consumption for the past 10 days till yesterday but was given 3 units I/v/o tremors @ 10:30 am which subsided after consumption . patient.also reported double images an

A 60 year old male patient came with complaint of fever , chills, rigors and loss of appetite

Image
60 year male patient with fever ,chills, rigorand loss of appetite 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. This E log book also reflects my patient-centered online learning portfolio and your valuable inputs on the comment box. Chief Complaints: Pt complaints of fever and chills since 5 days and constipation since 4 days. History of Present Illness: Patient is asymptomatic since 5 days ago then developed low grade fever associated with chills and rigors.  C/o decreased appetite since 5 days. C/o constipation since 4days. No H/o bleeding and dark colored stools. Increased frequency of micturition since 1 month. Headache, weakness on and off.

A 14 year old male patient came with complaint of stomach pain

Image
This is an online e-log book to discuss our patient's de-identified health data shared after taking his/her/guardian's 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.  CHIEF COMPLAINT: A 14 yr old male patient came to causality with a complaint of stomach pain since 15 days HISTORY OF PRESENT ILLNESS : A 14 yr old male patient who is student by occupation was apparently asymptomatic 15 days back then he noticed continous dragging type of pain in the abdomen. First patient visited local hospital and then came to causality   HISTORY OF PAST ILLNESS :   History of similar complaints 5 months ago H/o chicken pox 1year back  No h/o hypertension diabetes epilepsy asthma thyroid renal and cardiac problems  FAMILY HISTORY :  Similar complaints of his sister who p

A 67 yr old male with COPD with right heart failure

Image
 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. CASE PRESENTATION : A 67 year old male , farmer by occupation, came with chief complaints of: Pedal edema since 6 months  SOB grade 2 since 2 months  Low back ache since 2 months  HOPI: patient was apparently asymptomatic 2 years back then he developed shortness of breath on exertion, associated with dry cough for which he went to hospital, given medication for shortness of breath.He used to take medication (inhalers)whenever he had shortness of breath.  Bilateral pedal edema since

A 40 year old male patient came with complaint of weakness in right upper limb

Image
A 40 year old male patient with complaint of weakness in right upper limb October 30 2022 This is an e-LOG depicting patient's de-identified data centered approach for learning medicine. This log has been created after taking consent from patient and his family. Here we discuss about patient's problems with a series of inputs with an aim to solve them. CHEIF COMPLAINT :  45 yr old male came to the casuality with the cheif complaint of weakness of right upper and lower limbs and slight deviation of mouth towards left in the morning HISTORY OF PRESENT ILLNESS: A 45 yr old male patient , construction worker by  Occupation was apparently asymptomatic 2 days back and then developed 2 to 3 episodes of vomitings , food particles as contents and non blood stained .and then again asymptomatic till yesterday morning and then developed weakness of right upper and lower limb and mild deviation of mouth towards left . patients also experienced headache , blurring of vision and giddiness. --

A 65 year old female patient came with complaint of stomach pain on taking food

Image
A 65 yr old female patient came with a complaint of stomach pain on taking food This is an online e-log book to discuss our patient's de-identified health data shared after taking his/her/guardian's 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.  CHEIF COMPLAINT : A 65yr old female patient complaints of stomach pain on taking food since 1month HISTORY OF PRESENT ILLNESS :A 65yr old female patient who is aaganwadi worker by occupation was apparently asymptomatic 1month ago then she noticed stomach pain on taking food and relived on vomiting and medication.  HISTORY OF PAST ILLNESS : H/o hypertension since 20 yrs ( on medication ) No h/o asthma ,diabetes ,epilepsy, thyroid   H/o similar complaint 5yrs back FAMILY HISTORY : no relevant family history  PERSONAL H

A 60 year old male came with chief complaint of fever and headache

Image
A 60 year old male came with chief complaint of fever and Head ache This is an oneline e-blog depicting patient's de-identified data centred approach for learning medicine. This log has been created after taking concert from patient and his family. Here we discuss about patient's problems with a series of inputs with an aim to solve them  Chief complaint : A 60 year old male patient came to casualty with a complaint of fever with chills and head ache since 1 week  History of present illness : A 60 year old male patient who was farmer by occupation was apparently asymptomatic 1 week back then he notice fever with chills and headache, relieved on taking medication and he visited other hospital before coming here they gave a report positive for widal test  Uncontrolled diabetes (2 days) History of past illness : History of diabetes (on medication since 18 years) No history of hypertension, asthma,TB,Epilepsy, Thyroid Personal History : Married Diet : vegetarian  Appetite : Norm