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Showing posts from July, 2023

60 Y female with joint pains

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19th July 2023 NOTE: THIS IS AN ONLINE E LOGBOOK 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 A SERIES OF INPUTS FROM THE AVAILABLE GLOBAL ONLINE COMMUNITY OF EXPERTS INTENDING TO SOLVE THOSE CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE-BASED INPUT. This is the case of a 60 year old female, an agricultural laborer by occupation (stopped working 4 years ago) and resident of Guramguda. The following history was taken with the patient in person. The patient was explained about confidentiality and written consent was taken to create the following case report. This case report aims to record the patient's journey. CHIEF COMPLAINTS:- -pain in both knees since 4-5 years,  -facial swelling since 2-3 months,  -pedal edema since 1 week. HISTORY OF PRESENTING ILLNESS:- The patient was apparently asymptomatic 4-5 years ago. She then started d...

42 Y Male with CKD and on dialysis

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15th July 2023 NOTE: THIS IS AN ONLINE E LOGBOOK 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 A SERIES OF INPUTS FROM THE AVAILABLE GLOBAL ONLINE COMMUNITY OF EXPERTS INTENDING TO SOLVE THOSE CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE-BASED INPUT. This is the case of a 42-year-old male, resident of Nalgonda, and Labourer by occupation. The following history was taken with the patient in person. The patient was explained about confidentiality and written consent was taken to create the following case report. This case report aims to record the patient's journey. CHIEF COMPLAINTS:-  -Came for regular dialysis as per schedule.  History of present illness:-  Pt was apparently asymptomatic 4 years back. Afterwards, he had consistent episodes of vomiting (frequecy the patient doesn't remember) and pitting type edema on both ankles. H...

A 60 Y Male chronic alcoholic presented to the OPD with distended abdomen

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12th July 2023 NOTE: THIS IS AN ONLINE E LOGBOOK 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 A SERIES OF INPUTS FROM THE AVAILABLE GLOBAL ONLINE COMMUNITY OF EXPERTS INTENDING TO SOLVE THOSE CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE-BASED INPUT. This is the case of a 60 year old male farmer and carpenter by occupation and resident of Guramguda. The following history was taken with the patient in person. The patient was explained about confidentiality and written consent was taken to create the following case report. This case report aims to record the patient's journey. CHIEF COMPLAINTS:-   - Abdominal distension since 4months -Swelling of bilateral lower limbs since 4 months -decreased urine output since 4months. History of present illness:-   Patient was apparently asymptomatic 4months back. He then developed abdominal diste...

33 Year old male with Odontoid cyst.

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5th July 2023 NOTE: THIS IS AN ONLINE E LOGBOOK 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 A SERIES OF INPUTS FROM THE AVAILABLE GLOBAL ONLINE COMMUNITY OF EXPERTS INTENDING TO SOLVE THOSE CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE-BASED INPUT. This is the case of a 33-year-old male, resident of West bengal, and autodriver by occupation. The following history was taken with the patient in person. The patient was explained about confidentiality and written consent was taken to create the following case report. This case report aims to record the patient's journey. CHIEF COMPLAINTS:-   -Pus discharge from left side of the maxillary region.  History of present illness:-   Patient was apparently asymptomatic 1 and 1/2 month back when he noticed thick yellowish copious foul smelling pus coming from back of the teeth on left side which...

70Y old suffering from Neck pain and back pain. (CKD)

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4th July 2023 NOTE: THIS IS AN ONLINE E LOGBOOK 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 A SERIES OF INPUTS FROM THE AVAILABLE GLOBAL ONLINE COMMUNITY OF EXPERTS INTENDING TO SOLVE THOSE CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE-BASED INPUT. This is the case of a 70-year-old male, resident of Tirumalagiri, and Farmer by occupation. The following history was taken with the patient in person. The patient was explained about confidentiality and written consent was taken to create the following case report. This case report aims to record the patient's journey. CHIEF COMPLAINTS:-   -Neck pain and Back pain since 10 days.  History of present illness:-   Pt was apparently asymptomatic 10 days back. The onset of neck pain was of gradual onset, dragging type and localised to the neck region. The patient had lower back pain later, with...