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Showing posts from July, 2022

21 yr old female with pyrexia and vomitings

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July 23,2022 Hi all This is G Chaitanya ,,5th sem 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 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 inthe comment box are welcome. I have been given this case to solve an attempt to understand the topic of "patient clinical analysis data " to develop my competency in reading and comprehending clinical data including clinical history,clinical findings, investigations and come up with a diagnosis and treatment plan          CASE DISCUSSION A 21 year old female patient from Islamilpalli, who's a Bsc nursing student came to the casuality with chief c

73YR OLD MALE with electrolyte imbalance

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Hi all, this is G Chaitanya This is an online e-log book to discuss our patient's health data shared after taking his/her/guardian's consent. This also reflects patients centered care and online learning portfolio. 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 problems with collective current best evidence based inputs. Hope this will be informative! Case Scenario A 73 yr old male farmer by occupation came to hospital with chief complaints of  fall ( slipped) when he went for urination . HISTORY OF PRESENT ILLNESS Yesterday morning at around 5:00 Am pt went for urination at outside and  fainted  and fell on ground and no post fall Loss of consciousness, seizures, vomitings pt walked and slept. At around 8:00 Am pt couldn't walk and was taken to pvt hospital  Investigations were done showing Hyponatremia, low serum osmolarity with high spot sodium E

GENERAL MEDICINE Right lower limb cellulitis with Heart failure and CKD

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Hi all This is G.Chaitanya This is online E book to discuss our patients health data shared after taking his guardians informed consent form I have been given this case to solve in an attempt to understand topic of" patient clinical data analysis" to develop my competency in reading and comprehensing clinical data including history clinical findings investigations and come with a diagnosis and treatment plan. This is an ongoing case. I am in the process of updating and editing this E log as and when required.   Case Scenario::- A 49 yr old male came to medical OPD with chief complaints of Right lower limb swelling since 10 days and fever since 5 days  History of present Illness 3 yrs back patient observed pedal edema and went for further evaluation and diagnosed as  chronic renal failure. Pt was apparently normal 10 yrs back then he has progressive swelling of right lower limb and diagnosed with Filariasis. 2 yrs back pt had COVID + ve following which he had SOB at rest, fol