Posts

Showing posts from November, 2021

Internal assessment

Image
3 . Dengue fever 2. Cushing syndrome 5. Mandibular advancement device 6 .cardiogenic pulmonary edema 8.leptospirosis 9 . Heart failure 11. Pyrexia 12.drug induced liver injury 13.evalutaion of low back ache 14.renal artery stenosis Acute kidney injury Hypoglycemia oral agents Metabolic acidosis Iron deficiency anemia 7. Rheumatoid arthritis 2.acute pancreatitis etiology, pathogenesis and clinical features

45 yrs old female with hypothyroidism

Image
  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 problem through series of inputs from available global online community of experts with an aim to solve those patients clinical problem with collective current best evidence based input. Pedal edema Hypothyroidism 45 year old female patient  presented to OPD with a chief complaint of  :   1. Fever since 5 days .  2. Vomiting and headache since 4 days .  3. Shortness of breath since 2 days . HISTORY OF PRESENT ILLNESS :           Patient was apparently asymptomatic 5 days back . And then developed fever which is sudden in onset and gradually increasing .  Fever is not associated with chills and sweating . Fever associated is on and off since 1 month . History of vomiting since 4 days in which food particles are present as content .  History of shortness of breath since 2 days which is more during walking o

27 yr old female with multiple swellings in the joints

Image
 General medicine elog 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. A 27 year old female came to opd with chief complaint of swelling on the left elbow  and right ankle joint. History of present illness: Two years ago after a normal sleeping hours she experienced pain in her left elbow which also showed swelling (non pitting type)in the same area i.e towards radial side of hand which resulted in restricted hand movement , this lasted for 10 months and above.no episodes of fever is seen. Then she visited a local hospital and was