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Showing posts from March, 2023

52/F with pyrexia and body pains

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NAME: Meghana.M Roll no: 95 Batch: 2017  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" 52 year old, female farmer by occupation, came with complains of fever and cough since 14 days  Patient was apparently asymptomatic 15 days back. Then she tripped and had a fall in bus stop.  Injury to jaw and bled and had a suture.  loss of consciousness for 15 minutes.  Post ictal confusion is absent  Fever since 14 days low-grade associated with chills and Rigors intermittent insidious in onset, no diurnal variation, decreased...

67 FEMALE WITH DYSPHAGIA AND NECK SWELLING UNDER EVALUATION

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  This is 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 patients clinical problms with collective current best evidence based inputs. This e-log book also reflects my patient centered online learning portfolio and your valuable inputs on comment box is welcome . CHIEF COMPLAINTS: C/o difficulty in swallowing since 2 years HOPI: Patient was apparently asymptomatic 2 years ago. Then she noticed a swelling of size 2x2cm in front of neck which gradually progressed to present side of 4x4cm. Associated with difficulty in swallowing food(solids intially later to liquids too), dyspnoea and hoarseness of voice. H/o weigh loss present  H/o constipation present H/o burning micturition since 2 years No h/o fever, palpitaions, sweating, heat i...

55/M Pyrexia with ?Septic shock

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 NAME: Meghana.M Roll no: 95 Batch: 2017  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" 55 year old MALE daily wage laborer by occupation, resident of Mandapuram came with chief complaints of  Fever  since 10days,  Abdominal pain Since 10 days,  Patient was apparently asymptomatic 15 days back then he developed FEVER high-grade Intermittent, Insidious in onset, gradually progressive, decreased on using medications.  Since day 3 fever was associated With headache, chills and Rigors decreased sleep; decreased in...