General medicine case

 This is online e log book to discuss for patients deidentified health data shared after taking her / guardians signed informed consent     Here we discuss our individual patient problems  through series of inputs from available global online community of experts with an aim yo solve those patients clinical problems with collective current  best evidence based inputs. A 27 year old male patient who is electrician by occupation came with chief complaints of pain in abdomen since 3 months . HISTORY OF PRESENT ILLNESS: patient was apparently a symptomatic 3 months back, then he had a trauma where his relatives beaten him with stick at the left hypochondrium region and then he developed mild diffuse abdominal pain associated with bilious vomiting projectile contains food particles , then the pain subsided on taking medications . After a few days he again developed pain abdomen at the left hypochondrium region and the pain radiating to back , then he went to government hospital where he und

  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 70 year old male patient resident of annaram ,who is farmer by occupation  presented to the opd with chief complaints of pedal edema ,sob , and generalized weakness since 20 days. HISTORY OF PRESENT ILLNESS  Patient is apparently asymptomatic 3 months back then he developed sob which gradually progressed from grade II to grade III . This was associated with pedal edema which is pitting type up to the knee and not associated with chest pain and palpitations. Patient has history of fever and chills (on and off) since 2 months. Patient has no facial puffiness and no decrease in urine output. Patient ha

  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. A 55 year old male patient presented to the opd on 8-11-21 with chief complaints of bilateral pedal edema since 10 days ,shortness of breath since 4 days , facial puffiness  and decreased appetite since 2 days . HISTORY OF PRESENT ILLNESS  Patient was apparently asymptomatic 3 years back and then he developed right sided hemiparesis and was diagnosed with CVA and was on antiplatelets. 2 years back he was also diagnosed with diabetes and hypertension. Patient has pedal edema up to knee and sob since 1&1/2 hr and was diagnosed as ckd and he is on Medication. In our hospital he was admitted on 8 November. After 5 dia

 1. Anatomical and etiologic localization of hemiparesis and further management. 2. Etiology pathogenesis clinical features management complications of acute pancreatitis. 3. Dengue fever clinical features and complications. 4. Cushing syndrome 5. Mandibular advancement device 6. Cardiogenic pulmonary edema  7. Rheumatoid arthritis  8. Leptospirosis  9. Heart failure  10. Ascites  11. Pyrexia of unknown origin  12. Drug induced liver injury  13. Evaluation of low back ache  14. Renal artery stenosis  15. Acute kidney injury  16. Oral hypoglycemic agent  17. Microvascular and macrovascular complications of diabetes.  18. Lights criteria  19. Metabolic acidosis  20. Iron deficiency anemia