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Showing posts from August, 2022

50/F with DRY COUGH AND GIDDINESS

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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 CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE BASED INPUT A 50 years female patient farmer by occupation , resident of nalgonda came to casuality with chief complaints of  -Dry cough since 3days -Giddiness and palpitations since  past 2 days HISTORY OF PRESENT ILLNESS :-  Patient was asymptomatic 5years back and then developed high grade fever and associated with chills for which she went to hospital and was treated conservatively and also had giddiness at that time for which she was known yo be having HTN and using medication. since then asymptomatic till 7/8/22 evening 5pm and developed giddiness and palpitation.  PAST HISTORY: Patient is a known case hypertension ,

42 Yr old male CKD ON MHD

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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 CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE BASED INPUT A 43 years male patient driver by occupation , resident of nalgonda came to casuality with chief complaints of shortness of breath on exertion since 10 days and Bilateral pedal edema since 1week. HISTORY OF PRESENT ILLNESS :-  Patient was apparently asymptomatic 9 years ago. Then he developed fever which is insidious in onset and gradually progressive ,for which he went to the local hospital and few blood test was done and daigonised as Diabetic and Hypertension. Agian after 1year he developed fever and went to local hospital and diagnosed as kidney problem. Since then he was using medication for both daibetes