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Showing posts from December, 2023

60F WITH CAD CCF SINCE AUGUST 2023 WITH BLISTERING CELLULITIS SINCE SEPTEMBER 2023

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This is an online e log book to discuss our patient de-identified health data shared after taking his / her / guardians signed informed consent. Here we discuss our individual patients problems through series of inputs from available global online community of experts with an aim to solve those patients clinical problem with collective current best evident based input. This E blog also reflects my patient centered online learning portfolio and your valuable inputs on the comment box is welcome. I have been given this case to solve in an attempt to understand the topic of " patient clinical data analysis" to develop my competency in reading and comprehending clinical data including history, clinical findings, investigations and come up with diagnosis and treatment plan. Chief Complaints -  60 year old female presented with complaints of ulcer over the left since 1 month.  History of Present Illness -  Patient was apparently alright 1.5 month ago when she developed blisters ove

47 year old male with altered sensorium since 2 days and fever since 1 day with alcohol dependence, tobacco dependence and a K/C/O epilepsy

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A 47 year old male, resident of Edavelli, labour by occupation presented to psychiatry OPD with  Chief complaints - According to informant  - C/O talking to self, physical and verbal abuse, increased anger outbusts and suspicion that people are trying to harm him and decreased sleep since 8 days on 10/12/23. - C/o Drowsiness since 3 days           Fever since 2 days HOPI -  Patient was undergoing treatment for Alcohol dependence syndrome, Tobacco dependence syndrome and Alcohol induced psychosis under psychiatry when he developed altered sensorium since 11/12/23 night and fever since morning of 12/12/23. Background history -  Past History -  K/C/O seizures since 1 year ( 2-3 times per month under intoxication, not using medication)  N/K/C/O DM, HTN, Asthma, TB. Personal history -  H/O alcohol consumption since past 35 years ( approximately 360/ml/day for past 20 yrs ) H/O tobacco consumption since past 35 years ( approximately 45 beedis/day) Occasionally khaini

60 y old male patient with shortness of breath and decreased urine output

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This is an online e log book to discuss our patient de-identified health data shared after taking his / her / guardians signed informed consent. Here we discuss our individual patients problems through series of inputs from available global online community of experts with an aim to solve those patients clinical problem with collective current best evident based input. This E blog also reflects my patient centered online learning portfolio and your valuable inputs on the comment box is welcome. I have been given this case to solve in an attempt to understand the topic of " patient clinical data analysis" to develop my competency in reading and comprehending clinical data including history, clinical findings investigations and come up with diagnosis and treatment plan. A 60 year old male who is a resident of suryapet ,farmer by occupation came to opd with  Chief Complaints of :- - Pedal edema since 3 months - Shortness of breath Since 20 days - Decreased urine output since 15