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General medicine case 6

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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 A 45 yr old female patient housewife by occupation presented to the opd with weakness of lower limb since 3 months and inability to walk since one and half month complaints of  pain and inability to extend her right lower limb since one and half month HISTORY OF PRESENT ILLNESS Patient was apparently asymptomatic 18 yrs back then she noticed a small swelling in the neck region and which gradually increased in size 3 months ago .  She was having difficulty in positioning of her feet while walking and even had slippage of footwear. 2 months ago she slipped off from the bathroom and Fractured her right...

General medicine case 5

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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   A 50 yr old male patient farmer by occupation presented to the opd with chief complaints of fever , cough , loose stools since 1 month HISTORY OF PRESENT ILLNESS Patient was apparently asymptomatic 20 days back then he developed fever which is low grade intermittent type and associated with chills and rigor since 1 month and not associated with headache ,nausea and vomiting Initially patient had dry cough since 10 days then he had continuous wet cough   (with sputum) since 20 days .loose stools watery in consistency green to yellow in colour multiple epidoses immediately after food /flui...

General medicine case 4

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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 A 70 yr old male patient presented to opd with chief complaints of shortness of breath since 20 days , leg pain on walking since 20 days , pedal edema since morning on 4th September   HISTORY OF PRESENT ILLNESS Patient was apparently asymptomatic 45 days back. Then the patient developed shortness of breath which is grade 3 since 20 days and leg pain since 20 days there is history of trauma of his left leg 3 months back.complaints of pitting type of edema involving left leg. Patient had fever 2 months back which subsided on medication  Patient complaints of fever which is intermittent and cough since...

General medicine case 3

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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 A 18 yr old female presented to the opd with chief complaint of fever , headache and bodypains since 3 days  HISTORY OF PRESENT ILLNESS Patient was apparently asymptomatic 3 days back then she had fever which is associated with chills and rigor and subsided on taking medication. Fever is intermittent. Fever during night times,  headche which is not associated with nausea, vomiting.Body pain (diffuse type). Patient was taken to nearby RMP doctor, there she was  diagnosed NS1 antigen positive and referred to our hospital. PAST HISTORY There is no history of hypertension,diabetes and thyroid , tb , ...

General medicine Case 2

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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 A 72 yr old male  patient  agriculture by occupation presented to the opd with chief complaint of pedal edema , shortness of breath and decreased urine output since 20 days  HISTORY OF PRESENT ILLNESS Patient was apparently asymptomatic 3 yrs back. Patient complaints of shortness of breath, decreased urine output,and pedal edema since 20 days Patient noticed the swelling in his leg and has joint pains and he visited local hospital and medication was taken at that time patient was diagnosed with diabetes and hypertension.  After that patient patient suffers with shortness of breath and has visited t...