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Showing posts from December, 2022

32 year old female - seizures under evaluation

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This is an online E-log book to discuss our patient de-identified health data shared after taking his/ her guardians sign informed consent Here we discuss our individual patient problems through series of inputs from available Global online community of experts with an aim to solve those patient clinical problem with collective current best evidence based inputs. This E-log also reflects my patient centered online learning portfolio. Your valuable inputs on comment box are welcome Name: Dr Sreshta J Complaints of involuntary movements of both upper and lower limbs 2 hours ago Timeline of events: Hopi: Patient was apparently asymptomatic 2 hours ago then she had involuntary movements of both upper and lower limbs that lasted for 5 minutes. Frothing present No tongue bite No loss of consciousness Post ictal confusion present No involuntary urination or defecation 2 episodes of active seizures after coming to casualty which lasted for 5 minutes, 1 hour apart  Past illness: Kno

42 year old female with viral pyrexia, left mild pleural effusion secondary to ?TB

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This is an online E logbook to discuss our patients' 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 patients' clinical problems with the collective current best evidence-based inputs. This e-log book also reflects my patient-centred online learning portfolio and your valuable inputs on the comment box are welcome.  Name: Dr Sreshta J 42 year old female presented with complaints of  Cough since 1 month Fever since 1 day Hopi: Patient was apparently asymptomatic 1 month ago then she developed cough which was dry and did not subside on medication  Patient had fever 1 month ago which was high grade, continuous, and it lasted for 1 week. Now she again has been having fever since 1 day which is high grade and continuous. Not associated with chills and rigors  Past history: She'

35 yr old female -viral pyrexia under evaluation

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35yr old female presented with complaints of fever since 10days Pain abdomen since 10days Generalised weakness since 10days  Vomitings since 10days Loose stools since 10days Burning micturition since 10days Hopi Pt was apparently asymptomatic 10days ago then she had  FEVER which is low grade , continuous and is associated with chills  She has taken Dolo 650mg 3,4 per day for fever for 10days It is also associated with VOMITINGS-non projectile, non bilious and non blood stained (2-3episodes per day) food particles as contents.  also associated with LOOSE STOOLS 5 days ago- 2-3 episodes per day. Now subsided  Past illness She had TB 8yrs back ,ATT for 6months then she was relieved  N/k/c/o DM,HTN, epilepsy, asthma, cad,cvd LSCS done 15yrs ago and Tubectomy done 14yrs ago No h/o blood transfusions  Personal history  Daily wage worker Decreased appetite since 15days No allergies and addictions  General examination: Pallor yes Icterus no Cyanosis no Clubbing no Malnutrition no