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Showing posts from March, 2022

45 y/o F with reduced urine output, sob and facial puffiness

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45 yrs old woman with reduced urine output, SOB, easy fatigability and facial puffiness  17 March 2022 Manvi Sharma  Roll no 88  2018  "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 CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE BASED INPUT." A 45 year old female came to the OPD on 15th February 2022 with chief complaints of  -reduced urine output since 1 week  -easy fatigability from 1 week  -facial puffiness since 1 week and  SOB(grade 3)  since 3 days  History of presenting illness-  The patient was absolutely alright 3 yrs back before she developed generalized weakness due to which she stopped doing her work of a daily wage labourer.  About 1 year back she developed severe right sided loin pain along

30 y/o F with b/l pedal edema, SOB and b/l knee joint pain

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35y/o woman with b/l pedal edema, SOB and b/l knee joint pain   Manvi Sharma  Roll no 88  2018 batch  16th March 2022  "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 CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE BASED INPUT." Chief complaints -  A 35 y/o female who is a housewife presented to the OPD with chief complaints of  high grade fever and cough with sputum since 5 to 6 days,  b/l pedal edema (pitting type) since 5 days and difficulty in breathing even at rest or after talking (grade 4)  since 5 days History of presenting illness -  The patient was apparently asymptomatic 1 yr back when she developed b/l knee joint pain and itching in upper aspect of chest and neck.The pain was insidious in onset

70 y/o F with seizures

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70 y/o woman with seizures  Manvi Sharma  Roll no 88  Batch 2018 Date : 14-3-22  "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 -  A 70y/o female who is an anganwadi ayamma presented to the casualty with c/o of two episodes of seizures since morning  History of presenting illness - The patient was apparently asymptomatic till today morning and then at around 12 pm she had an episode of fits characterized by involuntary movement of both lower limbs in association with frothing at mouth and tongue bit

55 y/o M with b/l pedal edema and facial puffiness

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55 y/o male with b/l pedal edema and SOB  Manvi Sharma  Roll no 88  Batch of 2018  Date - 11-3-22 "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-centred online learning portfolio and your valuable inputs on the comment box." Chief complaints -  B/l pedal edema since 3 months  SOB grade 3-4 since 1 month  History of presenting illness -  The patient was absolutely alright 11 yrs back when he had an episode of blood in vomitting(?varices) for which he went to the hospital and was given medication which he used for about 1 year. At the  same time he was diagnosed to have type 2 DM for which he has b

73 Y/O M WITH GIDDINESS AND SOB

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73 yr old male with giddiness and SOB Manvi Sharma Batch of 2018 Date: 4/3/22 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.  https://youtu.be/9eLvhwzH428 A 73 YEAR OLD MALE PATIENT WHO IS A PRIEST CAME TO THE OPD WITH CHIEF COMPLAINTS OF " SHORTNESS OF BREATH SINCE 1 YR, GIDDINESS AND NECK PAIN SINCE 7-8 MONTHS, AND DECREASED URINE OUTPUT SINCE 8 MONTHS."                                                                                       HOPI - THE PATIENT WAS APPARENTLY ASYMPTOMATIC ONE YEAR BACK, WHEN HE WENT TO