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Showing posts from January, 2023

42 yrs old patient with abdominal pain

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January 18,2023 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 . A 42 year old male patient, farmer by occupation, resident of Nalgonda, came to our hospital with the cheif complaints of- Fever since 3 days, Abdominal pain since 3 days, Shortness of breath since 2 days and Cough with sputum since 2 days. Date of admission:-10/01/2023 History of present illness:- Patient was apparently assymptomatic 3 days ago and then he noticed fever which was sudden in onset, gradually progressive, high grade, associated with chills, rise of temperature during nights and subside by early morning Pain in the hypochondrium and epigastric region since 3 days which was sudd

60 yr old male patient with renal failure

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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 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 . A 60Years old male patient Occupation by farmer, resident of nalgonda came to opd with the chief complaint of :-  Routine follow up for renal failure On haemodialysis History of present illness :-  Patient was apparently asymptomatic 10 yrs back then he had developed fever , difficulty in having food and was taken to hospital and incidentally found to have Diabetes mellitus And started on conservative management  3yrs back Pedal edema , facial puffiness And was not treated for it  2 yrs back Taken to local RMP And was diagnosed to have renal failure Used conservative medication but was not controlled  15 da