13. B.Harika

  November 24, 2021 70 YEAR OLD MALE WITH ALTERED BEHAVIOUR ?HYPONATREMIA 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 is welcome." CASE:   A 70 year old male came with chief complaints of :  1) Altered behaviour since afternoon. 2) Involuntary movements of the both upper limbs and lower limbs since 4pm along with loss of speech and involuntary movements of the mouth.  HOPI:  Patient was a security guard by occupation in Hyderabad 20 years back and his sons brought him to their village 20 years back and was ...

 12th Oct  A  70year old male resident of ghanakonda came in to casualty with chief complaints of Altered sensorium since 4am in the morning.patient was normal till 6pm in the night,then had dinner and felt uneasiness and took tab.GLIMI M2at around 7pm and had altered sensorium at around 8pm,then went to local hospital and found he was in hypoglycemia,then discharged at around 10pm.at 3:30am in the morning,patient attenders saw that patient was making gurgling sound and brought to KIMS for further evaluation. PAST HISTORY : K/c/o hypertension (on tab.TELMA met xl 40/50)po/od K/c/o DMT2(On T.GLIMI ME /PO/OD) Not a k/c/o  CAD, asthma, TB, epilepsy. PERSONAL HISTORY: Patient has mixed diet with normal appetite and adequate sleep.  he has normal bowel movements and bladder filling.  No addictions.  No significant family history or allergic history.  GENERAL EXAMNATION: No pallor, icterus, cyanosis, clubbing, lymphadenopathy, pedal edema.  VITALS:...

   A 74 yr old female with fever September 21 , 2021 This is an online e log book to discuss our patient de-identified health data shared after taking his / her / guardians signed informed consent.  Unit 1 admission  Amc Date of admission: September 14 , 2021 A 74 year old female came with complaints of fever since 4 days,generalised weakness since 4days  two episodes of vomiting 1 day ago  History of present illness: Pt was apparently asymptomatic 4 days ago,c/o fever,highgrade,intermittent,not associated with chills and rigors  Associated with generalized weakness, two episodes vomitings,subsided on its own  Shortness of breath on exertion then progressed to shortness of breath on rest    pericardial effusion 1year ago,diagnosed,on medication for 6 months later subsided No h/o orthopnea, dyspnea No pain  abdomen,loose stools Past history:  Dm since 3 years hypothyroidism since 10 years on regular medication Personal hist...

1. Anatomical and etiology localization for hemiparesis and further management. 2. Etiology pathogenesis clinical features management complications of acute pancreatitis. 3. Dengue fever clinical features and complications. 4. Cushing syndrome.  6. Cardiogenic pulmonary edema. 7. Rheumatoid arthritis. 9. Heart failure. 10. Ascites  11. Pyrexia of unknown origin  13. Evaluation of low back ache. 15. Acute kidney injury. 19. Metabolic acidosis. 20. Iron deficiency anemia.

 November 9, 2021 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 35 year old female patient came to casualty with chief complaint of neck pain and headache since 4 days. Patient was apparently asymptomatic 1 month back. Then she attended a marriage and when she returned home she developed chills and fever. So she visited a doctor in kattangur and was adviced medication. Her fever did not get subsided, so she visited another doctor in nakrekal and she was diagnosed to have mild typhoid and she was adviced medication. After 2 days she developed neck pain and headache. PERSONAL HISTORY - Diet- Mixed  Appetite- Normal  Sleep- adequate  Bladder ha...

  October 27, 2021   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 40 year old male patient came to the casualty with chief complaint of Shortness of Breath worsening since 2 hours Grade 3-4 Palpitations + B/L pedal edema + , pitting type since 10-15days Abdominal distension and  Decreased urine output since 15days H/O fever 1 week back, it's subsided now  Patient was apparently asymptomatic 6 months ago  He then developed an episode of Sob to which he visited a local doctor and he was relieved of his symptoms and he was diagnosed to have  (? LIVER FAILURE ) with yellowish discoloration of eyes and was adviced medication He had in...

  This is an online elog book to discuss our patients de-identified health data shared after taking his /her/ guardian informed consent here we discuss our individual patients problems through series of input from available global online community of experts with an aim to solve those patients clinical problems with collective current best evidence based inputs. Date of admission: 21 October 2021 A 60 yr old male who is a farmer by occupation came to the OPD for the dialysis diagnosed as kidney failure 1 1/2 back . He went to local hospital and was diagnosed with renal failure( serum creatinine 3mg/dl) Chief complaint: patient complains of shortness of breath, sleeplessness, swelling of limbs. HISTORY OF PRESENT ILLNESS : •Pedal edema  • Anorexia  • Fever  • Dyspepsia  •  Insomnia  • Serum creatinine levels - increased (2 mg /dl)  • Decreased urine output  Presently on dialysis on MHD  HISTORY OF PAST ILLNESS :  On dialysis since 1 ...