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Showing posts from April, 2023

60 year old female with pain abdomen and decreased urine output

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Date 24.4.23 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 60 year old female, housewife, a resident of mungole, came to casualty with chief complaints of pain abdomen since 4 days and decreased urine output since 4 days. HISTORY OF PRESENTING ILLNESS: Patient was apparently asymptomatic 4 days ago, then she developed pain in the abdomen, left lumbar region, insidious in onset and gradually progressive, radiating to lower abdomen and back. It was of dragging type and diffuse. There are no aggravating or relieving factors. Ther

32 year old male with fever and pain abdomen

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  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. This E blog also reflects my patient centered online learning portfolio and your valuable inputs on the comment box is welcome. I have 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 diagnosis and treatment plan. A 32 M farmer by occupation from miryalaguda came to GM OPD with chief complaints of: Pain abdomen Since: 7 days Fever - 7 days. cough -7 days HOPI : Patient was apparently asymptomatic 7 days back, then he d

38 year old male with liver abscess

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    This E blog also reflects my patient centered online learning portfolio and your valuable inputs on the comment box is welcome. I have 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 diagnosis and treatment plan.   HISTORY OF PRESENT ILLNESS: He was apparently asymptomatic 12 days back and then he developed fever which is sudden in onset gradually progressive continuous type associated with chills and rigor; no aggravating and relieving factors; not associated with diurnal variation and evening rise of temperature. H/o abdominal pain since 12 days which is sudden in onset gradually progressive non radiating and diffuse type aggravated by taking deep breaths and relieved on taking rest. No h/o of nausea, vomiting, loose stools, loss of appetite, weight loss, burning micturition, de