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Showing posts from December, 2022

45/F with FEVER AND HYPOTENSION

 Chief complaints: (7/10/22) 1)FEVER since 10 days 2) SOB,GIDDINESS since 3 days 3) VOMITINGS and  LOOSE STOOLS  since yesterday  HOPI:  Patient was apparently asymptotic 10days back from when she had fever which is associated with chills and rigors and with diurnal variation , increased during night and subsided by night and subsided by night , she had giddiness and SOB, (grade III) since 3 days and yesterday night went to a local doctor , he gave ORS from then she had vomitings, 1episode, food as it’s content , non projectile. She also had 4 episodes of loose stools ,since today today morning. No blood /mucus in stools . Patient also complains of cough since 3 days (dry) PAST ILLNESS:  N/K/C/O HTN,DM,Epilepsy ,TB, CVA,CAD PERSONAL HISTORY: Married, Homemaker, has normal appetite, takes mixed diet  and has regular bladder movements, having loose stools since mrng., she is an occasional alcoholic, stopped since 1year  GENERAL PHYSICAL EXAMINATION: Patient came by walk to OPD Conscious,

84 /M with SOB &cough with sputum

  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. 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 i