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Showing posts from August, 2020

47 year old man with Pyelonephritis

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  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 are welcome. Here is a case I have seen: A 47 year old man, farmer, presented to the casualty with the complains of Reduced urine output since 1 month  Dyspnea at rest 6 days  Burning micturation since 6 days  White colored urine since 6 days Vomitings 3 episodes yesterday Hiccups since last night  Patient works as a farmer, got married to a coolie and has 2 sons. The elder one is unemployed while the younger one works as a nurse. He has been consuming alcohol 3 times a we...

75 year old woman with recent right femur neck fracture, intermittent hematuria, right ureteric hydronephrosis and HRCT screening for covid showing fibrotic nodules in right middle lobe

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  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 are welcome. Here is a case I have seen: A 75 year old woman presented with complaints of Pain in the right thigh Reduced urine output  Reddish colored urine since 3 days   She stays at home and has 3 children (daughters). 5 years ago, she slipped and fell down the stairs and had a laceration over her forehead for which suturing was done. She even had reduced urine output and hematuria for which she had been evaluated and was diagnosed with Hydroureteronephrosis and UTI for which...

HYPOGLYCEMIA MIMICKING STROKE

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 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 are welcome. Here is a case I have seen: A 65 year old woman, weaver presented to casualty at 7: 30 am with the complains of : Right upper limb weakness since 4am Right lower limb weakness since 4am Slurred speech since 4 am Patient used to work as a weaver until 2 years back. She got married to a weaver and has 5 children - 3 daughters and 2 sons. Her attendants give a long standing history of fever since 10 years on and off though it wasn't associated with weight loss. 5 year...