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Showing posts from October, 2022

72 Female with Fever, Burning micturition, Abdominal pain

  Chief complaints:   Fever since 1month (sep15th) Burning micturition for 10days (sep15th -25th) Abdominal pain since 1month  Decreased appetite since 20 days HISTORY OF PRESENTING ILLNESS: A 72 year post menopausal female , came to casualty with complaints of fever since sep15th ( 36th day of illness). Fever was high grade with evening rise in temperature associated with chills and rigors, not associated with nausea and vomiting/headache/cold/cough . She was treated with oral medicines on day 2 of illness,But fever dint subside . Not associated with loose stools /blood in stools On 2nd October (17th day of illness ) she was given IV antibiotics for 2 days , and was on antipyretics From 9th October she had feverspike , she consulted a doctor, she was started on inj. Magnexforte and Tab. Farepeneum 200mg for a week.   “presented to outside hospital with fever , right hypochondriac pain and nausea , she was clinically as SEPSIS WITH MODS, surgical opinion was tak...

67yr male with fever and generalized weakness

This is an online Blog book to discuss our patients deidentified health data shared after taking his/ her guardians to sign an informed consent Here we discuss our patient problems through a series of inputs from the available Global online community of experts with n aim to solve those patient clinical problems with the current best evidence-based input This Blog also reflects my patient-centred online learning portfolio. Your valuable input 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 competence in reading and comprehending clinical data including history, clinical findings, investigations and come up with a diagnosis and treatment plan CHIEF COMPLAINTS  Fever since 10days Dry cough since 10days  Generalized weakness and bodypains since 10days  Decreased appetite since 5 days  Red colored urine since 5 days  Vomiting on Day 4 of illness Pain abd...

60yr Female with SOB

  This is an online E logbook to discuss our patient’s de-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 patients' clinical problems with collective current best evidence-based inputs. PRESENTING COMPLAINTS: C/O of cold since 5 days C/O alleged history of fall on leftshoulder 4days ago C/O breathlessness since 4 days HISTORY OF PRESENTING ILLNESS: A 60 year female presented to casualty with complaints of   Alleged fall from bed in sleep on left shoulder followed by pain at left shoulder and right side of chest , associated with movement restriction and pain . History of breathless of grade 1 MMRC , which was progressed to MMRC 3.  H/o orthopnoea  No history of chest pain /palpitations/no PND / burning micturation / cough . History of cold since 5 days not associated fever , body pains ...

80Yr male with altered sensorium

 This is an online Blog book to discuss our patients deidentified health data shared after taking his/ her guardians to sign an informed consent Here we discuss our patient problems through a series of inputs from the available Global online community of experts with n aim to solve those patient clinical problems with the current best evidence-based input This Blog also reflects my patient-centred online learning portfolio. Your valuable input 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 competence in reading and comprehending clinical data including history, clinical findings, investigations and come up with a diagnosis and treatment plan CHEIF COMPLAINTS: Fever since 10 days  Burning micturition since 1 day Left loin pain since 1 day  Decreased urine output since 1day Blood in urine since 3 hrs HISTORY OF PRESENTING ILLNESS A 80Yr male, agriculture by occ...