CASE I've been given these three cases data here https://alekyatummala.blogspot.com/2020/09/45-yr-female-with-anasarca.html?m This may develop my competency a) reading and comprehending clinical data related to the case including history, clinical findings, investigation b) come up with a diagnosis such as 1) Anatomical location of the root cause 2) Physiological functional disability 3) Biochemical abnormalities that could be a root cause at a molecular lev 4) Pathology that could reflect the root cause at a cellular lev c) a treatment plan for each of these patients of paraparesis that can have a pharmacological and non pharmacological componency d) learning the scientific basis of diagnostic and therapeutic approach in terms of past collective experiences and experiments (aka evidence based medicin The first step to developing these competencies after reading and comprehending each patient data will be : a) create a problem list for each patient in order of the patient'
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36M with diabetic neuropathy
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 C/o Weakness in both upper and lower limbs since 6months Slurring of speech since 5 years Hopi: Patient is apparently symptomatic 5 years back then he developed stiffness in neak And headache while carrying heavy weights on his head as his daily routine work . After 1 year he developed progressive weakness in arms and reached to a stage where he couldn’t lift a glass of water( according to patient). Weakness progressed to lower limbs in 1 year reached to a stage where he couldn’t get up
NEPHROTIC SYNDROME WITH TYPE -I DM, HYPERTENSION,RIGHT PLEURAL EFFUSION
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 A 20 yrs old female who is a house wife was brought to the casualty with the C/O decreased urine output since yesterday Swelling all over the body since 4days History of presenting illness: Patient was apparently asymptomatic 2 months back then she developed swelling of both legs and face, and got admitted in the hospital got treatment and discharged.4days back she had no urine output and swelling all over the body. Past history: K/c/o T1DM On examination Patient is conscious coherent and
65 yr old male pt AKI ON CKD 2° TO HTN
Cheif complaints: A 65year old man came to hospital with complaints of fever on and off , tightness of abdomen ,facial puffiness since 15 days History of present illness: A 65 year old male toddy tree climber by profession was apparently asymptomatic 10 years back then he was had swelling and pain abdomen for which he was diagnosed with- lt sided inguinal hernia and got operated in some private hospital. Preoperative and postoperative period was uneventful 4 years back patient had complaint of giddiness for which he approached government hospital physician and was diagnosed Hypertension[170/90] and was started on some unknown medication 6 months back patient had complaint of bilateral pedal edema for which investigations were done and found his serum creatinine elevated (4.3 ) and proteins in urine CT scan showed unilateral (lt)staghorn renal calculi and bilateral inguinoscrotal hernia DTPA scan was done showing decreased GFR on left side( 12%) and right (88%) For these he was
27 year old male Pt with shortness of breath, burning mucturition
NOTE: THIS IS AN ONLINE E LOGBOOK 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 A SERIES OF INPUTS FROM THE AVAILABLE GLOBAL ONLINE COMMUNITY OF EXPERTS INTENDING TO SOLVE THOSE CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE-BASED INPUT. Chief complaints : A patient came to opd with C/o sob grade 4 since morning , burning mucturition since 3 days. bilateral flank pain since 3days History of presenting illness: Patient is apparently asymptomatic 1year ago with similar complaints for which he was admitted in outside hospital where he told to have kidney disease, HTN, DM. Managed conservatively Past history: K/c/o HTN & DM Since 1year K/c/o renal calculi 3years back GENERAL EXAMINATION: patient is conscious, coherent , cooperative. No PICKLE Vital: Temperature 90F PR 113 bpm RR 18 cpm Bp 130/100 mmhg GFBS 136 mg/dl CVS : heart s