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Showing posts from January, 2021

January bimonthly exam

  26 year old woman with complaints of altered sensorium somce 1 day,headache since 8 days,fever and vomitings since 4 days More here:  https://harikachindam7. blogspot.com/2020/12/26-year- old-female-with-complaints-of. html Case presentation  links:  https://youtu.be/fz9Jssoc-mA https://youtu.be/d4lLX04oL8s https://youtu.be/CSCxw2zp7Oc a). What is the problem representation of this patient and what is the anatomical localization for her current problem based on the clinical findings? A 26year old female patient who is k/c/o SLE presented with complaints of headache since 8 days, fever and vomitings since 4 days and altered sensorium since 2 days.Anatomical localization - brain b) What is the etiology of the current problem and how would you as a member of the treating team arrive at a diagnosis?  Please chart out the sequence of events timeline between the manifestations of each of her problems and current outcomes.   b) etiology:  CVA , TB Meningitis , SLE vasculitis ,SIADH secondar

28year old male with complaints of SOB,pedal edema and abdominal distension

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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 is welcome. Here is a case I have seen 28 year old man, came to opd on 5 dec 2020 with c/o sob since 3 days already a known case of hypertensive since 12 months,ckd on mhd , non diabetic, non alcoholic, non smoker, unmarried, constructor worker from Nalgonda who was apparently alright, busy working daily at construction sites one day an year back developed high grade fever along with body pains for which he was taken to a RMP and he was given ' tablets for fever ' as the

A 38 year male patient with compaints of yellowish discolouration of eyes since 15 days,nausea and loss of appetite since 15 days,pedal edema since one week and SOB since 2-3 days.

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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 is welcome. Here is a case i have seen: A 38year old male,who is a school teacher by occupation presented with complaints of yellowish discolouration of eyes since 15 days,nausea and loss of appetite since 15 days and pedal edema since 1 week. He was apparently asymptomatic 1 year back when He had similar complaints of SOB,mild abdominal distension for which he got here.He was diagnosed with Alcoholic liver disease and was treated conservatively and discharged.Endoscopy was done

A 61 year old patient with complaints of fever,SOB and cough since 5 days

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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 is welcome. Here is a case i have seen:   61 year old male farmer by occupation and a resident of nakrekal got married 40years ago.His wife is a home maker.He has three children,two daughters who got married and a younger son got married and working as a farmer.Patient used to do his daily activities and farming since diwali 2019.Post diwali patient was complaining of generalised weakness,SOB and palpitations while doing his manual labour work.patient had been home since then. H/O