General Medicine Case Discussion

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. This is a case of a 60 year old male presented with the chief complaints of decreased urine output since 2 months. Patient was apparently asymptomatic 2 months back, then he developed burning micturition followed by decreased urine output.  The patient complained of neck pain since 1 month. No h/o pedal edema, facial puffiness, shortness of breath. No h/o similar complaints in the past. Not a k/c/o DM, HTN, asthma, TB. VITALS : Temperature - Afebrile BP - 110/70 mm Hg PR - 92 BPM RR

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. A 65 year old patient came to the casualty with the chief complaints of : 1. Fever 1 month back 2. Cough since 20 days 3. Shortness of breath since 20 days (class II - class III) according to NYHA classification, not associated with orthopnea/PND. 4. Fever since 20 days , not associated with chills and rigor. Patient was apparently asymptomatic 20 days back, then he developed fever which was insidious in onset, gradually progressive and subsided on taking medication. Complain of cou

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 a diagnosis and treatment plan. A 80 year old patient came to the casualty with the chief complaints of : 1. Shortness of breath (grade III) since 3 hours 2. Loose stools - 3 episodes on 19/10/21 3. Fever since 6 days which is associated with chills and rigor. He used to smoke 18 beedis/day , smoked for 30 years. After he was diagnosed with Tuberculosis (took treatment for 2 years) , he stopped smoking. He was an alcoholic , took 90ml/day and stopped 1 year back, now takes occasionally during social gatherings. He had a history of repeated falls 1 year back , for which he went to the government hospital. Initially the patient was told that he had low blood pressure, then after 5 months , he was diagnosed with hypertension and star

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 a diagnosis and treatment plan. A 40 year male , farmer by occupation came to the casualty with the chief complaints of : 1. Complaint of fever since 5 days. 2. History of vomiting 5 days back. The patient was apparently asymptomatic 5 days back, then he took the Covid Vaccination. Since then he is having fever associated with chills and rigor, no diurnal variation, not associated with sweating, subsided on taking medication. There was history of 2 episodes of vomiting 5 days back which was non bilious, non projectile and was not associated with pain abdomen. The patient had no complains of headache, palpitations, shortness of breath or pedal edema. The patient is not a know case of Hypertension or Diabetes Mellitus. The patient

"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 is welcome." SHORT CASE A 35 year old male patient, resident of Motukur, labourer by occupation is undergoing dialysis since 10 months. He was diagnosed with hypertension 2 years ago. He took the medication for hypertension and then stopped abruptly for 2 months.  He is undergoing dialysis twice a week since 10 months. General Examination:  The patient is conscious, cooperative, coherent and is moderately built and well nourished. Pallor : Absent Icterus : Absent Cyanosi