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Showing posts from November, 2020

Bimonthly Internal Assessment - November

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  Case 1 :     55 year old male patient  came with the complaints of  Chest pain since 3 days  Abdominal distension since 3 days  Abdominal pain since 3 days and decreased urine output since 3days and not passed stools since 3days. https://sreejaboga.blogspot.com/2020/11/is-online-e-log-book-to-discuss-our.html?m=1 Q1) Where are the different anatomical locations of the patient's problems and what are the different etiologic possibilities for them? Please chart out the sequence of events timeline between the manifestations of each of these problems and current outcomes.  A) The anatomical locations of the problems and their etiological possibilities :  The pain in the epigastrium could be because of MI, Gastritis, peptic ulcer etc. There could be pancreatitis secondary to chronic alcohol consumption, gallstones, Hypertriglyceridemia, chronic smoking and high age. In the Kidneys for Oliguria There could be pre renal AKI possibly due to the flu...

40 yr old male with B/L lower limb weakness since 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 A 40 year old gentleman from South India who's a mason by occupation came to the clinic with the conplaints of weakness in the lower limbs which progressed to the upper limbs and was also associated with a tingling sensation in his feet, legs and hands. He experienced difficulties in walking, sitting down and getting up from a seated position. He also finds it difficult to get up from the supine position, although he finds no difficulty in rolling over on his bed ...

31 yr old Male with B/L pedal edema with scrotal and penile swelling since 2 months

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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. A 35 year old gentleman from South India whos' a porter by occupation presented with a 2 month history of progressive bilateral pedal oedema and and swelling of the scrotum and penis.   His earliest recollection of being absolutely normal goes back to days prior to the national lockdown, when he remembers he first developed heavy bounding palpitations, which he describes, "as a ball kicking his chest from within". The palpitations were often associated ...

43 year old Chronic Alcoholic with Nausea and Vomiting since 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 A 43 year old police constable from South India , who was apparently healthy 3 days back came to the hospital with complaints of feeling nauseous and episodes of vomiting since then. The vomitings were bilious, about 50-60ml in quantity, yellowish in color, watery in consistency, weren't foul smelling, were non- projectile and weren't associated with blood or food particles. He reports feeling nauseous and vomits even after consuming small amounts of water. The...