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  55 year male,farmer by occupation 8 years back  came with chief complaints of pain in bilateral knees since 1 yr. And pain in back region,right wrist,eyes,neck since 1 yr. Patient was apparently asymptomatic 1yr back and then developed pain in his back initially on the right and then 2 days later left region as well. This pain was insidious in onset,Non radiating and of dragging type. Morning stiffness present. C/o pain in bilateral knees since 1 yr,insidious in onset,non radiating, stiffness in the morning, pain relieved o  walking.  Bowing of legs presen...

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  60 year male,farmer by occupation came with chief complaints of epigastric pain since 2 yrs. Patient was apparently asymptomatic 2yrs back,then developed epigastric pain,insidious in onset and radiating to back and neck area,dragging type of pain,relieved on taking medication.  No intolerance to spicy food,no radiation to arms C/o ulcer on ventral surface of right calf since 20 days initially,only itching was present.gradually tingling sensation started in that area. No h/o discharge, trauma or insect bite.edema present around ulcer area. C/o loss of appetite since 2 months,due to worse...

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 H...

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 morn...