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General medicine case-5

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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. CHIEF COMPLAINTS:-  A 32years old male, construction worker by the occupation presented to the opd with the  C/O fever since 4-5 days      cough since 1 week    cold since 1 week  Headache and giddiness since 1 week HISTORY OF PRESENT ILLNESS:-  Patient was apparently asymptomatic 1 week ago. Then he gradually developed Weakness ,low grade intermittent fever with no diurnal variation associated with non productive cough and cold.  Patients daily routine is, he wakes up at early in the morning 5:30. He goes to his work at morning 9'o clock then he takes his lunc...

General medicine case-4

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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  Date of admission:- September 23 2021 A 50 yr old male patient farmer by occupation presented to the opd with chief complaints of fever , cough , loose stools since 1 month HISTORY OF PRESENT ILLNESS Patient was apparently asymptomatic 20 days back then he developed fever which is low grade intermittent type and associated with chills and rigor since 1 month and not associated with headache ,nausea and vomiting Initially patient had dry cough since 10 days then he had continuous wet cough   (with sputum) since 20 days loose stools watery in consistency green to yellow in colour, multiple epidoses...

General medicine Case-3

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This is online elog book to discuss for patients deidentified health data shared after taking her/guardians signed informed consent. Here we discuss our individual patient problems through series of inputs from available global online community of experts with an aim to solve those patients clinical problems with collective current best evidence based inputs. Date of admission :- 30/8/21 CHIEF COMPLAINTS:-   A 45 years old male resident of Suryapet, Mechanic by occupation, presented to the OPD with the chief complaints of pedal edema, decreased urine output and shortness of breath ( grade -2) from past 6 months.   Patient was on hemodialysis maintanence till August 1st and then went to NIMS for peritoneal dialysis.  HISTORY OF PRESENT ILLNESS:-  2 years back patient noticed puffiness of the face, bilateral pedal edema then he visited hospital in Khammam and was on medication.  Patient was apparently asymptomatic 6months back then he developed pedal ede...

General medicine case-2

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This is online elog book to discuss for patients deidentified health data shared after taking her/guardians signed informed consent Here we discuss our individual patient problems through series of inputs from available global online community of experts with an aim to solve those patients clinical problems with collective current best evidence based inputs.      Date of admission: 21/08/21 Cheif complaints:- A 26 year's male patient bought to the casuality with history of fever since 5days. HISTORY OF PRESENT ILLNESS:- Patient was apparently asymptomatic 15 days back. Then he complaints of cough and fever which was insidious in onset ,low grade, intermittent,not associated with chills & rigor which relieved upon taking medication. Again 4 days back patient complaints about continuous fever not associated with chills and rigor and not reliving upon taking medication. From 3 days patient complaints about abdominal tenderness. On health check up there was reduced platel...

General medicine Case-1

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This is online elog book to discuss for patients deidentified health data shared after taking her/guardians signed informed consent Here we discuss our individual patient problems through series of inputs from available global online community of experts with an aim to solve those patients clinical problems with collective current best evidence based inputs.                                                                                      Date of admission:2/8/21 A 45 years old man who was a farmer presented to the OPD with cheif complaints of Swelling of both the legs and Shortness of breath from past 2 month's.   HISTORY OF PRESENT ILLNESS Patient was apparently asymptomatic 4months back. Then he complained of Bilateral Pedal Edema which was gradually progressi...