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General medicine (6)

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Welcome and greetings to every one who are visiting my blog.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 . Chief complaints:  c/o fever sice 1 week History of present illness:   patient was apparently asymptomatic and then developed fever associated with chills which resolved on taking medication but fever reappeared associated with generalised weakness Pain in the abdomen 2 days back associated with tightening of abdomen No h/o vomitings and diarrhoea and no other complaints. History of past illness:  Not a k/c/o diabetes ...
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general medicine (5)

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This is an online e-log book to discuss our patient's de-identified health data shared after taking his/her/guardian's 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.  A 60 year old male came to OPD with the complaint of SOB, bilateral pedal, and decreased urine output since ten days. October 28,2022 Chief complaint: A 60 year old male came to OPD with the complaint of SOB, bilateral pedal, and decreased urine output since ten days. History of present illness:  patient was apparently asymptomatic ten days back then later he noticed sob(grade 2 and grade 3)with aggravating and relieving factors -decreased urine output History of past Illness: - no complaints of burning during micturition -k/c/o- htn since 10 years -n/k/c/o- asthma, epilepsy,cad,tb Treatment history:   -no ...
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General medicine

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Case : Acute kidney injury 45 year old female came to casuality with chief complaints of vomitings, nasuea. Complaints and duration: Patient was apparently normal 4 years back then she developed burning micturition,pedal edema,right loin pain for which she visited local hospital and diagnosed with right renal calculi(2-3cms)   pyelonephritis then reffered to NIMS in nims patient underwent right nephrectomy in 2018 since then patient had no complaints. History of present illness: Since 10-15 days patient had nausea and vomitings  epigastric discomfort,4-5 episodes of vomitings Small quantity food particles as contents. No blood in vomiting. No history of fever. History of past illness: Right nephrectomy in 2018 HISTORY OF TREATMENT :. -Diabetes: No --Hypertension: No -CAD:No --Asthma: No -Tuberculosis: No --Antibiotics: No -hormones: No Personal history: •marital status - married • occupation- -farmer •appetite- -lost • Bowels- -regular • micturition- -abnormal • known all...
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