Skip to main content

Posts

45 year old with carcinoma of right parotid

This is 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 A 45 year old male patient farmer by occupation came with c/o  painless swelling on right side of face since 5 months  Patient was apparently alright 1 1/2 year back then noticed  Swelling on right side of face ,painkess ,initially small in size later increased in size  for which he went to a hospital where he was diagnosed to be having pleomorphic adenoma and superficial parotidectomy was done  7 months back ,then pt c/o gradual increase in size of  right parotid gland since 5 months again And c/o painful oral ulcer at right retromolar trigone since 4 months  N/K/C/O DM,HTN,BA,EPILEPSY, TB Personal history- Appetite -nor
Post a Comment
Read more
Recent posts

A 60 year male with valvular heart disease

This is 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 A 60 year old male farmer by occupation came to casualty with c/o shortness of breath since 2 years  Pedal edema since  Epigastric pain since 2 years HOPI Patient was apparently alright 2years back then developed sob which progressed to grade 3 sob nyha classification  Pedal edema involving ankles upto knees Pain in epigastric region since 2 years Past history  H/o an episode of pharyngitis 10 years back Not  a known case of DM,HTN,ASTHMA,EPILEPSY,THYROID DISORDERS  PERSONAL HISTORY- Diet-mixed Appetite-normal B &B movements- regular Sleep-normal Addictions-  nil GENERAL EXAMINATION- Patient is
Post a Comment
Read more

A 45 year old with seizures

This is 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 A 45 year old  male chicken shop owner by occupation was brought  with c/o sudden onset of giddiness followed by LOC that was preceded by tonic UL movements f/b regain of consciousness at 4:30 pm on 18/5/22 HOPI- Patient was apparently alright yesterday ,then developed 1 episode of sudden onset of giddiness f/b tonic movement of UL for 3 minutes f/b LOC for 15min . During period of LOC ,vertical uprolling of eyes +,tongue bite +,frothing+ H/o post ictal confusion for few seconds  No h/o aura preceding the events  No h/o involuntary micturition/defecation.  Past history - N/K/C/O HTN,DM,BA,EPILEPSY,TB,CAD,CVA Personal h
Post a Comment
Read more

A 50 year old with sob,pedal edema

"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" A 50 year old female patient came to casuality with complaints of pedal edema since 3 months ,decreased urine output since 3 months ,shortness of breath since 3 days HOPI Patient was apparently asymptomatic 3 months back then developed fever -low grade not associated with chills Pedal edema 3 months ago Decreased urine output 3 months ago Sob -progressed to grade 4i Patient  was advised for hemodialysis but pt attendees were not willing Patient has been taking nsaids since past
Post a Comment
Read more

38 year old female with diffuse headache and multiple joint pains

This is 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 A 38 year old female sales person by occupation came with complaints of  Diffuse headache since 1 year  Multiple joint pains since 1 year Lumbar-cervical-shoulder joint-knee joint-wrist-PIP DIP -spared   HOPI Patient was apparently asymptomatic 1 year back then developed headache -diffuse type,insidious in onset ,gradually progressive  Relieved on medication Multiple joint painsnot associated with early morning stiffness and fever.joint pains increases with work associated with neck pain Tingling of both upper limbs  Past history  K/C/O HTN -not on medication  N/K/C/O DM,BA,EPILEPSY, TB GENERAL EXAMINATION - Patient is Co
Post a Comment
Read more

A 32 year old male with alcohol dependence syndrome & tobacco dependence syndrome

This is 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 A 32 year old male came to the opd with complaints of  -Alcohol consumption since 6 years (540ml whiskey) (Last consumption 180ml whiskey on 30/03/22) -tobacco consumption since 6 years(6 packs gutka  /day &1 cigarette /week) ALCOHOL- Cravings+ Tobacco + -Due to peer pressure and family stressors Patient started consuming whiskey 90ml /day gradually increased it ti 540ml /day Withdrawals+ Patient experiences sleep disturbances,palpitations when not consuming alcohol Harmful use + Patient is aware of harmful effect of alcohol Loss of control Loss of interest in other pleasurable activities Patient is giving more import
Post a Comment
Read more

A 32 year old with pedal edema

This is 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 A 34 year male patient  auto driver by occupation  came  to the opd with complaints of Cough with expectoration since 1 week Chest pain in epigastric region since 1 week B/L pedal edema since 1 week Shortness on breath on walking since 1 week Decreased urine output since 1 week Generalised weakness since 1 week Patient was apparently asymptomatic 1 week back then developed cough with expectoration-mucoid in consistency, non blood stained, non foul smelling, developed pedal edema ,Bilateral,progressed from involving ankles to limbs (grade 1 to grade 3),pitting type PAST HISTORY- H/o quad
Post a Comment
Read more