BANGARI LAXMI RAJ BLOG

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. Cheif complaints   Patient came with the cheif complaints of   Pedal edema since 5 months , shortness of breath since 6 days. HOPI : The patient was apparently asymptomatic 5months back then he developed pedal edema in bilateral lower limbs upto ankle pitting in nature since 6 days back. SOB Increased and developed to grade 4. Past history  Patient is conscious, coherent, and cooperative. No K/c/o DM , asthma, HTN, TB, Epilepsy. Family history: Not significant  GENERAL EXAMINATION: Patient is    conscious,coherent, co operative  Oriented to time ,Place, Person  VITALS : BP: 120...

Chief complaints: Patient c/o giddiness since 6days C/o headache since 6days Hopi: Patient was apparently sympatomatic 10 years back then he had stomach ache for which he was referred to our hospital. Then he was diagnosed with intestinal perforation and he was operated and discharged after 6 days.  4 years ago visited hospital in view of abdominal pain, epigastric region, non radiating, not associated with vomitings, there he was diagnosed with T2DM and was prescribed T. Gliclazide 60 mg OD 10 days ago he visited hospital for Pain abdomen epigastric region, non radiating, not associated with vomitings and was prescribed Inj.ISOPANE insulin 20-0-15 T. B-complex SYP. Antacid T. Ursodeoxycholic acid 300mg BD T. Rabeprazole 20mg + levosulpride 75 mg OD one week back then he had vomiting 3 episodes per day for 2 days,  non projectilee nonbilious contains food particles as contents non foul smelling,  altered sleep cycle (sleeping during day, awake at night), yellowish discolo...

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. Age: 62 Gender: Male Weight: 46.7 kg Chief complaints C/o Chest pain since 2 years ( On & Off ). Associated with Shortness of breath Constipation associated with blood in stools. History of presenting illness: Patient was apparently asymptomatic 2 years ago 2 years ago, one day he noticed blood with the stool of around 100ml. From that day onwards he says blood comes out with his stool for around 10-15 days continuously then stops for 15 days. This cycle goes on and is still continuing. He feels no itchiness or splinter hemorrhagic pain during defaecation.  In the year 2019, he had an episode of feve...

  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 box.  Chief complaints A 42 year butcher came to casualty with Lethargic since 1 week Abdominal distension since 4 days Not passing stools since 2 days History of presenting Illness 4 years ago visited hospital in view of abdominal pain, epigastric region, non radiating, not associated with vomitings, there he was diagnosed with T2DM and was prescribed T. Gliclazide 60 mg OD 10 days ago he visited hospital for Pain abdomen epigastric region, non radiating, not associated with vomitings...

  This is an online e log book to discuss our patient de-identified health data shared after taking his / her / guardians signed informed consent. Here we discuss our individual patients problems through series of inputs from available global online community of experts with an aim to solve those patients clinical problem with collective current best evident based input. This E blog also reflects my patient centered online learning portfolio and your valuable inputs on the comment box is welcome. I have 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 diagnosis and treatment plan.     55 year old male, Resident of miryalaguda came to casualty  with chief complaints of     •Abdominal discomfort since 3 days     •Involuntary movements 1ep...

  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 box.  Chief complaints A 42 year butcher came to casualty with Lethargic since 1 week Abdominal distension since 4 days Not passing stools since 2 days History of presenting Illness 4 years ago visited hospital in view of abdominal pain, epigastric region, non radiating, not associated with vomitings, there he was diagnosed with T2DM and was prescribed T. Gliclazide 60 mg OD 10 days ago he visited hospital for Pain abdomen epigastric region, non radiating, not associated with vomitings...

  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 box   Chief complaints 24 year old male who is a labourer , came with chief complaints of  Decreased urine output since 10 days Shortness of breath since 10 days  Pedal edema since 10 days  Fever since 10 days  History of presenting illness patient was apparently asymptomatic 3  years back. Then he developed decreased urine output for which he went to local hospital and scan was done which revealed hydronephrosis .10 days back he had a trauma to the left little f...