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A 67 yr old male with COPD with right heart failure

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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. 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...

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

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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

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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  PE...

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

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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  Appet...

A 45yr old male c/o fever since 5 days. Abdominal pain, loose stools and vomitings

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A 45 yr old male c/o fever since 5 days.Abdominal pain , loose stools and vomitings CHIEF COMPLAINTS :    A 45 yr old male c/o fever since 5 days, abdominal pain , loose stools and vomitings since yesterday. HOPI: patient was apparently asymptomatic 5 days ago and then developed fever, which is low grade, not associated with chills and rigors and relieved on medication. He complains of diffuse pain abdomen since 11th October morning. He had 3-4 episodes of vomiting on the same day evening, food particles as content and non- bilious in nature .He had loose stools since evening the same day, which is of 5 -6 episodes and so he went to local hospital. He developed weakness of both upper and lower limbs and found to be having low potassium, correction was done and the weakness got improved. He now came with c/o abdominal pain , vomiting and loose stools. PAST HISTORY Not a k/c/o DM, Hypertension, Asthma, epilepsy, CAD, CKD.  He went for a General checkup 6yrs ago, where he...

40 YR OLD MALE WITH YELLOWISH DISCOLORATION OF SCLERA.

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April 09,2022 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. A 40 year old male who is a coconut vender came to casualty with c/o : • constipation since 10 days • Yellowish discoloration of sclera and urine from 3 days. • cough(dry cough) since 2 days. • th...

40 year female patient with CHOLELITHIASIS

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This is an online e-log book to discuss our patients 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 patients clinical problems with collective current best evidence based inputs . CHIEF COMPLAINTS  40 year female patient came to hospital with abdominal pain  Patient complaints about pain in the abdomen. History of present illness:- Patient non apparently asymptomatic and then developed symptoms of pain in abdomen. Fever intermittent No case of burning micturition History of past illness:-  Not a k/c/o hypertension Not a k/c/o diabetes mellitus. No Tb,BA,CAD,CVA Personal history:- Married Appetite: Normal Allergies:-No  Menstrual history:- Age of menarche: 12yrs Any gynecological problems; No. FAMILY HISTORY:-  Allergic history:-not known case of allergy. Not allergic to pollen...