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Showing posts from March, 2022

48 year old female with shortness of breath and dysphagia

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Medicine prefinal case discussion 31-2-22 M.Srilekha.   roll.no:77  I have been given this case to solve in an attempt to un derstand the topic of patient clinical data analysis to develop my competency in reading and comprehending clinical data including history, clinical findings, investigations, and come up with diagnosis and treatment plan Chief complaints: A 48 year old female resident of Hyderabad who is home maker presented on 14-3-22 with chief complaints of  shortness of breath since one week initially grade 2 progressed to grade 4 Pedal edema since one week Chest tightness since one week Generalised weakness and fatigue since one week Difficulty in opening mouth Difficulty in swallowing both solids and liquids    Clinical images : on 25th January  Present  clinical findings: Past history: Known case of hypertension since 10years and in regular medication. K/c/o diabetes since 6 months Hypothyroidism since 8 years and on regular medication.(TH...

22year old male with DRUG INDUCED CUSHINGS with suppressed HPA axis with dengue

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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 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-centred online learning portfolio and your valuable inputs on the comment box is welcome."I've been given this case to solve in an attempt to understand the topic of "patient clinical data analysis" to develop my competency in reading and comprehending clinical data including history, clinical findings, investigations and come up with a diagnosis and treatment plan. A 22 year old male , who is a known case of CUSHING’s SYNDROME (drug induced) with suppressed HPA axis on hydrocortisone came to the casualty  with COMPLAINTS OF:  Fever since 3 days  V...

19year old boy with sickle cell crisis and thalasemia

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 Mallannagari.Srilekha Roll No:- 77 MBBS 9th-Sem  This is online E log book to discuss out patients de-identified health data shared after taking his guardian`s 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 patients 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 comments box is welcome. A 19 year old boy came to the causality with chief complaints of body pains since two days  The patient is a known case of sickle cell anemia and thalasemia (diagnoses 10years back). Body pains since two days. Pain in the joints mainly in the knees,elbow.ankle.pain in the legs and backache. There is history of one episode of vomiting 1 day back in the evening after having milk In 2008 patient has history of jaundice and came here treated for iron de...