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Showing posts from October, 2021

A patient with chronic kidney disease on dialysis

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 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. This e-log book also reflects my patient centered online learning portfolio and your valuable inputs on comment box is welcome . Gnana Prasuna Reddy  Roll no. 49 Case: 65 year old man, who is a resident of nakrekal, a daily wage worker, came to the department with the chief complaints of high grade fever, cough with expectoration since 3 days.  Fever was continuous, associated with chills and rigors and subsided upon  taking paracetamol medication.  Cough was associated with white coloured expectoration, which was scanty and increased during night times It is not associated with any postural variation He also complained

Internal assessment 1

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Long answers Question 1: Define bone density, how is it measured? What are the causes, clinical features,diagnosis and management of osteoporosis? My answer: Link to this question : https://rishik37.blogspot.com/2021/08/gm-elog-case-7.html Question 2: What is myxedema coma? Describe its clinical features , diagnosis and treatment of myxedema coma My answer : Link to the question:    http://mahithguduri63.blogspot.com/2021/09/myxedema-coma.html( Question 3. What is the diagnostic approach of young onset hypertension and it’s treatment. My answer: Young onset hypertension :   1. Hypertension is a disorder which is usually seen in older ages of life. Like after 5th decade or so.  2. But now, even at the age of 18, people are being diagnosed with hypertension 3. They generally present to the emergency with syncope  4. On general examination, upon checking the blood pressure sfter stabilising the patient will be higher than the normal value  5. And upon re checking after 4 hours also, if th

58 year old man

 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 problems. Chief complaints: • 58 yr old.male with Weakness of bilateral lower limbs since 5 days History of present illness : • Patient was apaprently asymptomatic a week back • 1 year back, he was diagnosed with HTN and was started on Tab TELMA 40mg + Chlorthalidone 6.25mg • 2 months back he got diagnosed with Covid and received treatment for 1 week and was in home isolation • On August 31st 2021 , he had fever for which he visited a local hospital and was diagnosed with dengue fever, he was admitted till September 8th after which he got discharged.  • After getting discharged, he started to experience lower back ache which would be present throughout the day, not radiating. 

Viral pneumonia secondary to COVID 19

 June 10th, 2021 This is an online blog sharing 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-centred online learning portfolio and your valuable comments on comment box is welcome.   Name : Prasuna, roll no. 49  8th semester  Following details were  provided to me by Intern Dr Anjali ma'am.  Case details A 45 year old male has presented with the casuality with the chief complaints of sudden onset shortness of breath on 2nd June 2021 History of presenting illness The patient was apparently asymptomatic till June 2nd . Then he developed grade 4 SOB which is of sudden onset. There was a history of orthopnea No history of fever, cough, col