Medicine cases

HALL TICKET NO. 1601006091 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 is welcome.  A 46 yr old female, labourer by occupation resident of Nakirekal came to the hospital with chief complaints of - Shortness of Breath since 5 days and  Generalized swelling of body since 5 days.  History of Present illness :        Patient was apparently asymptomatic 5 days back then she developed Shortness of Breath which was insidious in onset, gradually progressed from Grade 2 to Grade 4 (NYHA grading), aggravat...

A 35 YEAR OLD GENTLEMAN WITH CHRONIC KIDNEY DISEASE A 35-year old gentleman who is a farmer by occupation, resident of Miryalaguda ,came to the hospital with:  Chief complaints: -patient came to the hospital with chief complaints of swelling in both the legs since 13 months. History of presenting illness:- Patient was apparently asymptomatic 3 years back when he was incidentally diagnosed with raised blood pressure of 200/110mmhg for which he was put on medication, which he took for 4 months but wasn’t compliant and stopped taking them thereafter and was asymptomatic for 7 months since then.  Patient started developing bilateral pedal edema since 13 months, insidious in onset, pitting type, extending up until knee, associated with mild facial puffiness and decreased urine output since one year for which he came to the hospital and was put on maintainence hemodialysis for 10 months now. Patient complains of abdominal distension and swelling of legs in between dialysis session...

HALL TICKET NO.1601006091 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 is welcome. Case: A 61 year old gentleman who is resident of Kangaal ,shepherd by occupation came with chief complaints of pain in the abdomen from 10days,Fever from 2 days. HISTORY OF PRESENT ILLNESS: Patient was apparently asymptomatic 10 days ago ,then he developed 1. Pain in abdomen       -It is a diffuse type , insidious in onset , progressive, dragging type of pain associated with shortness of breath , it was non radiating, moderate pain wit...

I've 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 a diagnosis and treatment plan. You can find the real patient clinical problem in this link here:https://hitesh116.blogspot.com/2020/05/elog-13th-may-2020.html?m=1 The following are my reviews regarding the case: The order of priority of problems: 1.Difficulty in walking  since 1 month. 2.Bilateral lower limb weakness since 1 month 3.Pain in the lower limb calf muscles  since 1 month 4.Fever He had history of 1. Difficulty in standing from the sitting position 2.difficulty in climbing the stairs. 3.difficulty in holding the chappals 4.h/o wasting and thinning of the muscles. He has no h/o difficuilt in getting up from lying position,no h/o trauma,no h/o of tingling and numbness personal history: mixed diet with normal appetite and ...

I've 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 a diagnosis and treatment plan.        You can find the entire real patient clinical problem in this link here:https://vaish7.blogspot.com/2020/05/medicine.html?m=1 The following are my views regarding this case:- The problems that I found are: Current issues:1.Weakness of bilateral lower limbs since 5 days. 2.Tingling and numbness of lower limbs since 5 days. 3.Vomitings 5 days back with 3-4 episodes,non-projectile,non bilious,food particles is the content. 4.Sudden fall when he got up. Previous issues: 1.Gluteal abscess(operated 5 months back) 2.Scrotal abscess since ( incision and drainage 10 days) PAST HISTORY: -No similar complaints in the past -H/O multiple sexual partners  -Auto driver ( high risk behaviour) -No hi...

I was supposed to study the case of a 42 year old woman with multiple health events since she was born  to till date.The original blog regarding this case is provided here.https://classworkdecjan.blogspot.com/2019/05/42-f-with-severe-regular-edema-with_17.html?m=1 Here is a brief description of my views regarding this case :     Her present complaint was SEVERE REGULAR EDEMA which is generalized. History of important health events :-   At Birth : She was diagnosed with severe jaundice. Neonate : Hyperemesis, swelling of face and abdomen, Tierdness. CHILDHOOD : Severe headache, Hair growth on face, neck & legs, Infections such as chronic UTI , Kidney infection, Streptococcal throat infection, lung infections, Severe reaction to sulfa drugs, Severe  mood disorders, Sudden raise in heart rate. ADOLESCENT : Cervical degeneration, scoliosis, Anorexia, Headache severity increased, was diagnosed with anemia. ADULT : Ectopic pregnancy,diagnosed with PCOS, Kidney inf...