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Showing posts from March, 2022

Pre-final practical examination 1/4/2022

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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 signed informed consent.  Here we discuss our individual patient's problems through a series of inputs from an 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 in the comment box is welcome Prasuna Reddy Roll no. 49 9th semester My case is of a 75 year old lady, a homemaker in Miryalguda, who was brought to casuality in an unresponsive state with no recordable blood pressure and no pulse.   Post CPR vitals: Afebrile BP 170/100 PR 110 BPM CVS S1,S2 + RS BAE+, Decreased air entry in rt mammary area There were myclonic movements noted on 29th march and 30th march. They were not seen before by the

50 year old male patient with fever and SOB

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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 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 CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE BASED INPUT  50 year male Farmer by occupation came with chief complaints of Fever since 10 days,  Lethargy since 4 days ,  Blood in saliva since 3 days and  SOB since 2 days Patient was apparently alright 10 days back then he had low grade fever , intermittent , relieved on taking medication . Not associated with chills and rigors and was able to perform his routine works. From 4 days as patient was lethargic and taken to local hospital found out to be Dengue NS 1 + and platelet count was  44,000 on day 1    22,000 on 2nd day Following one SDP transfusion, it became   33,000 on 3rd day  From 3 days patient notices blood in

55 year old male with CKD on MHD

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55 YR OLD MALE WITH CKD ON MHD. Patient came with complaints of Pedal edema & SOB since 3 months 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 reflects my patient-centered online learning portfolio and your inputs on the comment box is welcomed Patient came with complaints of             -     Reduced urine output             -     Pedal edema            -     SOB   since   3 months Patient  was apparently asymptomatic  8 months back  , then he  developed  knee & ankle pain  in both lower limbs , then he went to local hospital and took medication for that pain relief. He used that medication for 4-5 months, after which h