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General medicine (3)

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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.  -44 year old female came to OPD with the complaint of giddiness on the same day of morning at 5:00(5am) complaints of vomitings. October -18 ,2022. 44 year old female came to OPD with the complaint of giddiness on the same day of morning at 5:00(5am) complaints of vomitings. Chief complaints: Patients complaints of giddiness, vomiting and there is no headache, blurring of vision and nausea suspected. History of present illness: -No loss of consciousness -patient had 2 episodes of vomitings in the morning of 16th October -no bleed and mucus seen in vomiting -no nausea, headache,and blurring of vision. -no sl...
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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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