Vamsidharrollno165

AKI ON CKD 2° TO HTN Cheif complaints: A 65year old man came to hospital with complaints of fever on and off , tightness of abdomen ,facial puffiness since 15 days   History of present illness:  A 65 year old male toddy tree climber by profession was apparently asymptomatic 10 years back then he was had swelling and pain abdomen for which he was diagnosed with- lt sided inguinal hernia and got operated in some private hospital. Preoperative and postoperative period was uneventful  4 years back patient had complaint of giddiness for which he approached government hospital physician and was diagnosed Hypertension[170/90] and was started on some unknown medication  6 months back patient had complaint of bilateral pedal edema for which investigations were done and found his serum creatinine elevated (4.3 ) and proteins in urine  CT scan showed unilateral (lt)staghorn renal calculi and bilateral inguinoscrotal hernia  DTPA scan was done showing decreased GFR on ...

November 06, 2022 17 YEAR OLD GIRL WITH DIABETIC KETOACIDOSIS 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 patients 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 comment box is welcome.  A 17 year old girl , studying 10th class, hailing from Janapahad near Miryalaguda , presented to the OPD with  chief complaints  of fever and vomitings since yesterday ( 05/11/22 ) morning . History of presenting illness :  The patient was apparently asymptomatic 7 years back . In 2015 ,  she got fever with 4-5 episodes of vomitings for which was taken to Nilofer where she was admitted for 1 month , they pe...

57yrs old male patient -  October 24, 2022  ICU BED -2   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 Chief complaints: C/o of constipation since 20 days  C/o  of fever since 4 to 5 days History of presenting illness:  patient came with c/o of constipation since 20 days I was admitted in hospital for three days  C/o of fever high-grade since 4 to 5 days more during night  history of hiccups 15 days back admitted in hospital for three days  no c/o of decreased urine output vomiting headache   chi...

30year old male came with complaints of lower backache since 2days. May 30, 2022 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' 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." I've 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.     Case:A 30year old male was brought to OPD by his mother with chief complaints of lower back...

  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 CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE BASED INPUT   36 YEARS OLD MALE WITH acute pancreatitis with alcohol dependence - CASE HISTORY A  36 YEAR OLD MALE , driver BY OCCUPATION ,CAME TO THE casualty WITH  CHEIF COMPLAINTS OF - Complains pain in the epigastric region since three days dragging type  Complains of belching 2 to 3 times per day  no complains of nausea and vomiting complaints of decreased appetite  patient was apparently a symptomatic three days ago then he developed  complains of epigastric pain which is sudden in onset non-radiating type  no history of nausea vomiting  history of decreased appetite  n...