HARIKRISHNA ROLL NO 55

 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 hy...

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...

  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 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 CHIEF COMPLAINTS-  Pain Abdomen and vomiting since 3 days HISTORY OF PRESENT ILLNESS:  He was apparently asymptomatic two years back then he had developed yellow discoloration of the sclera for which he visited a nearby hospital and got treated conservatively (MEDICATION: UDILIV for how many days? INDICATION?) One year back, he again had Sclera, for which the patient took UDILIV and the discoloration decreased. Ten days back, the Patient had an injury to the right-hand ring finger (laceration of size 1*1cm over the dorsum), due to an accidental hit while working in the carpenter shop. later the injury, ...

 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 52-year-old man presented to the OPD with Chief Complaints of abdominal distension from the past 7 days. HISTORY OF PRESENT ILLNESS: Patient was apparently asymptomatic 2 years back, then he had a non healing injury to the right foot which raised a suspicion of Diabetes mellitus. Then they went to neatest medical care and diagnosed with Diabetes mellitus type 2 and was started on Tab. GLIMI M2 OD.  2 years back he complained of Tingling in the upper limbs up to the palms, in the lower limbs up to the knee.   15 Days back patient presented to the casualty with Abdominal Distension NOT associated with p...

 52 Yr old female housewife by occupation presented to casualty for maintenance haemodialysis.  Chief complaints:: Shortness of breath since 1 week Pedal oedema since 1 week Decreased urine output since 1 week. History of presenting illness:: Pt. was asymptomatic 1 week back after which she developed shortness of breath and pedal oedema. Shortness of breath was aggravated by work. No history of fever and vomiting.  Past history:  She is a known case of hypertension.  PERSONAL HISTORY:  Diet- mixed. Appetite- reduced. Sleep- adequate.  Bowel and bladder- regular. No addictions.  FAMILY HISTORY:  No significant family history.  GENERAL EXAMINATION::  PALLOR- present.  Pale conjunctiva.  ICTERUS: Absent.  Cyanosis: absent  Lymphadenopathy: absent   Oedema- absent.  Vitals :-  Temperature- Afebrile Pulse rate- 72 beats per minute. Respiratory rate- 20 breaths per minute.  B.P - 140/70 ...