GENERAL MECIDINE E-LOG

  This is Varshini reddy of roll no.25 from third semester  The following blog is an assignment that was given to us. Question link:  https://medicinedepartment.blogspot.com/2021/08/medicine-paper-for-aug-2021-bimonthly.html?m=1 Question 1 :  Please go through the long and short cases from this link:  https://2018-21batchpgy3gmpracticals.blogspot.com/2021/08/18100006003-case-presentations.html?m=1 and provide your critical appraisal of the captured data in terms of completeness, correctness and ability to provide useful leads to analyze the diagnostic and therapeutic uncertainties around the cases shared and    share your thoughts around each answer by the student along with your qualitative insights into what was good or bad about the answer.  Answer: Long case: It is a case of 44 year old male, who presented with a 3-day history of anasarca and decreased urine output. In terms of completeness, the case study was explained in a detailed manner and the history that was taken, examinat

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.   CHIEF COMPLAINT: A 45 year old male, farmer by occupation came to the opd with the chief complaints of  Pain in abdomen since 3 days  Nausea since 3 days Vomiting, 1 day back  HISTORY OF PRESENT ILLNESS: Patient was apparently asymptomatic 2 years back, then he experienced profuse sweating for which he was taken to a local hospital and was diagnosed to be denovo diabetic and back then his blood sugars were 600mg/dl according to his wife and he was started on Inj. Human Insulin. Over the past 2 years - he got admitted thrice with similar complaints of Pain in the abdomen, nausea and was diagnosed with acute pancreatitis

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.   CHIEF COMPLAINT: A   24 year old female came to the opd with chief complaints of  Fever  Vomitings and Bloating since 3 days  HISTORY OF PRESENT ILLNESS: Patient was apparently asymptomatic 3 days back, then she developed fever associated with chills and rigor( subsided on taking medication). Fever was present throughout the day which was of Intermittent type with no diurnal variation. She had complaints of bloating followed by vomitings ( 3 episodes in a day) which had food particles as content. No bleeding manifestation No c/o burning micturition  No c/o cough, cold, headache, pedal edema Patient was taken to the nea

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.   CHIEF COMPLAINT: A 45 year old female, farmer by occupation, came to the opd with chief complaints of  Abdominal pain since 4 days Vomitings since 4 days  Head ache since 1 day HISTORY OF PRESENT ILLNESS: Patient was apparently asymptomatic 5 days back, then around 7:30 pm on wednesday patient alleged to be bitten by snake (? Viper) on right foot and was taken to the local hospital within 1 hour. AVS was taken. She was fine for 1 day and then had complaints of swelling of right lower limb for which she went to the local hospital and an ointment was advised, then the swelling subsided.  Patient has had abdominal pain si

  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.   CHIEF COMPLAINT: A 53 year old male came to the opd with chief complaints of  Shortness of breath since 1 week  Decreased urine output  Loss of appetite since 1 month  HISTORY OF PRESENT ILLNESS: Patient was apparently asymptomatic 10 yrs back then he developed fever which is insidious in onset, not associated with chills n rigor,  for which routine investigations were done which showed elevated serum creatinine levels. He was a carpenter by occupation, due to his heavy workload, he developed body pains for which he took a lot of NSAIDs.  Following the Investigations the patient  was diagnosed with chronic kidney fai