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final short case

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A 39 years old Male patient who runs xerox  came to opd with complaint of abdomin pain  Since 6 months and selwelling of  both limbs since 6 months.  He was apparently asymptomatic 6yrs back.6yrs back he intially noticed decreased appetite, weight loss( loosening of his clothes), low grade fever relieved on medication and low back pain.he visited local doctor took pain killers for relief of symptoms for 1 month.  Then it persisted and then Visted hospital and In blood test it reveled increased creatninine in blood.  Then he came to our hospital.  At our centre,  his creatinine was (14), and his kidneys were bilaterally small in size and initiated on hemodialysis. After one month of initiation of dialysis he undergone AV fistula for forearm since for about 4years he used to get dialysis once in ten days/ once in week .. He had intermittent pedal edema which relieved on dialysis . No symptomes of decreased urine output and SOB.noticed. Used to have 10-15 cigarettes perday, alcohol 180ml
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final long case

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This is a 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 patients problems through series of inputs from available global 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 in comment box is welcome. 38 year old female, housewife,came to opd with chief complaints of :      Decreased urine output since 1 month       Painful urination since 15 days       Burning micturition since 10 days       Pain in lower abdomen since 10 days Patient was apparently asymptomatic 1 month back , then she developed decreased urine output Since 1 month.  she developed pain during micturition since 15 days which is insidious onset.  Burning micturition since 10 days  No H/O haematuria, retention of urine   Lower abdomi
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pre final case

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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 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 60 years old female patient resident of Anthampet and a laundry worker by occupation, came on medical OPD on 7-12-2022 with chief complaints of:- *Shortness of breath, weekness and fatigue since 1 month.  History of Present Illness: *Patient is apparently asymptomatic 4years ago , when she started to develop shortness of breath,which was insidious in onset, gradually progressive .  *H/O Fever , weakness since 1 month.  *No H/O pedal edema History of Past illness:
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pre final theory exam

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blog

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November 30, 2022 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 55 year old male patient, daily labourer by occupation, resident of Narketpally, came to our hospital with cheif complaint of fever. Date of admission:- November 27, 2022 History of present illness:- Patient was apparently asymptomatic 5 days back and developed fever which is of high grade, not associated with chills and rigors, fever is nocturnal and not relieved on taking medication and developed generalized weakness and dragging type of pain of both lower limbs since 3 days and increased frequency of stools since 3 days. No history of cold and cough No history of bleeding from gums No
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19 Year old male with fever and lower backache November 30, 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. This is a case of 19 year old male hailing from mirylaguda who is intermediate second year student came to general medicine OPD with chief com
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Date 19/12/22 58year Old Male Patient With CKD On MHD THIS IS AN ONLINE E LOGBOOK 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 A SERIES OF INPUTS FROM THE AVAILABLE GLOBAL ONLINE COMMUNITY OF EXPERTS WITH AN AIM TO SOLVE THOSE CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE-BASED INPUT  CHEIF COMPLAINTS:- Patient came with c/o pedal edema since 10 days  Not associated with shortness of breath  HISTORY OF PRESENT ILLNESS:- Patient was apparently asymptomatic 10 days back, then developed pedal edema (pitting type) upto ankle. Not associated with shortness of breath or facial puffiness.  Last Dialysis session-5/04/2022. No H/O Palpitations,blurring of vision. HISTORY OF PAST ILLNESS:- No K/c/o Hypertension, Diabetes mellitus, epilepsy, TB,cerebrovascular accident, coronary artery disease PERSONAL HISTORY :- Married  Occupation-Farmer Appeti
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