Posts

Showing posts from July, 2023

40y/M with c/o pain abdomen

Image
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      CHEIF COMPLAINTS: c/o pain Abdomen since 2 days  HOPI: Patient was apparently asymptomatic 2days back then developed pain over the left hypochondriac region since 2 days radiating to the right hypochondriac region  C/o vomiting since yesterday ,3 episodes watery in consistency ,non-blood stained,non foul smelling No c/o fever , decreased urine output ,loose stools H/o Burning micturition since 2 days  C/o SOB , palpitations, orthopnea,pnd  PAST HISTORY: Not a known case of HTN,DM,Asthma,Epilepsy. PERSONAL HISTORY:  Diet - Mixed Appatite - Normal Sleep - Normal Bowel and Bladder -Regular. Allergy - None Addi

50y/F with multiple joint pains

Image
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        CHEIF COMPLAINTS: c/o multiple joint pains since 1 year C/o Neck pain since 1 month C/o Diminision of vision in both eyes since 6 months  HOPI: Patient was apparently asymptomatic 1 year back then she developed pain over the DIP,PIP,MCP, elbow joint,knee joint,ankle joint ,MTP joint C/o Burning sensation of feet No c/o SOB , palpitations,chest pain ,orthopnea,PND . No c/o pain abdomen, fever , burning micturition  PAST HISTORY: Not a known case of HTN ,type 2 DM, epilepsy, thyroid disorders, asthma, Tb. PERSONAL HISTORY:   Diet - Mixed Appatite - Normal Sleep - Normal Bowel and Bladder -Regular. Allergy -

55 year old female with c/o headache

Image
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         CHEIF COMPLAINTS: PATIENT CAME WITH C/O HEADACHE SINCE 1 DAY DUE TO TRAUMA HOPI: PATIENT WAS APPARENTLY ASSYMPTOMATIC 5-6 YEARS BACK THEN SHE DEVELOPED GENERALISED WEAKNESS AND PALPITATIONS FOR WHICH SHE WENT TO HOSPITAL AND DIAGNOSED OF HAVING HIGH BLOOD PRESSURE AND STARTED MEDICATION.SHE WAS DOING FINE SINCE THEN TILL YESTERDAY MORNING WHILE DOING SOME HOUSEHOLD WORK SHE SLIPPED AND HIT HER HEAD TO A WALL IN OCCIPITAL REGION AND DEVELOPED SWELLING AND DRAGGING TYPE OF PAIN IN NECK. N/H/O LOC, BLEEDING,RESTRICTION OF MOVEMENTS OF NECK, GIDDINESS, TINNITUS NO H/O SOB, COUGH, COLD, FEVER, SORE THROAT,AB