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Showing posts from February, 2022

A 40 year old female with giddiness

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 A 40 year old female who is housewife came to the casuality on 22/2/2022 (night) with CHIEF COMPLAINTS:- Chief complaints of GIDDINESS since yesterday morning.(22/2/2022) HISTORY OF PRESENTING ILLNESS:-  Patient was apparently asymptomatic 14 years ago then she felt heaviness on the right side while sleeping for which she went to a hospital and was diagnosed with gall stones( details unknown)  for which she underwent surgery and got relieved with the symptoms. 3 years ago she had a history of fall of bricks on her while working and got injured. She came to our hospital where she was done with all the test and found normal. She was sent home. After 1 year she had  right flank pain ? which was non radiating intermittent and pricking pain  and no aggravating and relieving factors. She was diagnosed with renal failure on one side and some operation was done (?) And every 3 months she will follow up .  In between she will complete of intermittent pain which relieved on water intake. Since

A 65 year old with orthopnea

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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 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. A 65 year old male who is a farmer by occupation  resident of miryalaguda came to the casuality with  CHIEF COMPLAINTS:- Chief complaints of shortness of breath and pedal edema since 15 days. HISTORY OF PRESENTING ILLNESS:-  Patient was apparently asymptomatic 6 years back then he developed high grade fever associated with chills, rigor and cough. Then he was diagnosed with Diabetes and hypertensiom. No history of nausea ,vomitings and get treated by local RMP by injections ( injections unknown) (oral medication does not relieve the fever)  .this type of fever used to reappear every 6-7 months ( not seasonal) and associated with

A 70 year old female with history of self fall

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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 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. A 70 year old female who is a resident of narammagudem who was a Home maker from 10-15 years (before which she was a farmer). CHIEF COMPLAINTS:- She came to the casuality in drowsy state. History of presenting illness(HOPI):-  Patient was apparently asymptomatic  11 years back then she was diagnosed with hypertension Then After 1 year she had a history of losing consciousness and fell down for which she went to local hospital where she was diagnosed with diabetes mellitus and since then she in OHA medica