medicine e log by NIKITHA

CBBLE UDHC SIMILAR CASES 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 CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE BASED INPUT    Feb 8,2022 A 50 year male farmer brought  to casualty in stuporous  state with complaints of  -pain abdomen since15 days -Loss of appetite since 10 days -H/o fever since 3days. -h/o vomitings since 3 days -h/o constipation since 3 days -h/o altered sensorium since 3 days -h/o yellowish discoloration of urine since 2 days. HISTORY OF PRESENTING ILLNESS - Patient was apparently asymptomatic 15 days ago,then he developed pain abdomen in epigastric region associated with 3 episodes of vomitings-food particles as content. Constipation present since 3 days,passing flatus. PAST HISTORY -  No

CBBLE UDHC SIMILAR CASES CASE OF   A-HHS WITH DIABETIC NEPHROPATHY   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 CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE BASED INPUT    Feb 6,2022 A 50 year male farmer ,manual labourer,brought  to casualty with h/o altered sensorium since 1 day H/o fever since 4 days. HISTORY OF PRESENTING ILLNESS - Patient was apparently asymptomatic 4 days ago,then he developed fever which is high grade,No diurnal variation, associated with chills. No h/o cough and GE symptoms.  Attenders tells h/o stoppage of  OHA for 3days, h/o decreased intake of food as he has fever. H/o altered sensorium since 1 day. Irrelevant talk,not recognising attenders since this morning . Able to move all four

CBBLE UDHC SIMILAR CASES INCISIONAL HERNIA.   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 CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE BASED INPUT  February 1 2022 A 52yr old female came to casualty with pain abdomen once in 2-3 days since 1 month. History of Presenting illness :  patient was apparently asymptomatic 1 month back then she developed pain abdomen in left  lumbar and right hypochondrium and umbilical region once in 2-3 days,which  is incidious in onset,gradually progressive. No aggravating and relieving factors. PAST HISTORY:  patient has H/o dysmenorrhea 14yrs back for which she was on medication and pain relieved. H/o hypertension 13yrs ago,on tab.Telma. H/o ovarian cyst diagnosed and operated 9y