Posts

Showing posts from July, 2023

A 29 yr old female with complaints of shortness of breath since 3 days

Image
A 29 yr old female with complaints of shortness of breath since 3 days  July 15, 2023   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 centred  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. 29 yr old female came to hospital with complaints of shortness of breath since 3 days . History of presenting illness: Pat

22 yr old female with generalized weakness and easy fatiguability since 2 months

Image
Chief complaints  A 22 yr old female who is a student came with complaints  of generalized weakness and easy fatiguability since 2 months  History of present illness Patient was appearently asymptomatic 2 months back  Then developed easy fatigubility, generalised weakness - Case of - SOB grade 2/3, incidious in onset, gradually progressive to grade 3  - exertional dyspnoea History of past illness H/o similar complaints in the past 5 years back  History of blood transfusion (PRBC) - no reaction  N/K/C/O - Hypertension,DM, Asthma, Thyroid disorder  Personal History  Diet: mixed  Appetite: normal  Sleep: adequate  Bowel: regular  Micturition: normal  Addictions: No Allergies: nil Family history  No significant family history  Daily routine  Patient wakes up around 7 am and takes a breakfast and go to the coaching classes have lunch in the afternoon and come back to home at 6 pm and have dinner at 8 pm and sleeps at 10 pm  Her daily routine did not change even after the weakness General ex

43 YEAR OLD MALE WITH SEIZURES

Image
This is an online E log book to discuss our patient's de-identified health data shared after taking her guardian's signed informed consent. Name - Rushikesh B zade  Roll No. - 126 A 43 year old male was brought to the casualty with complains of involuntary movements of body on 8th of July morning.  HISTORY OF PRESENTING ILLNESS :  The Patient was apparently asymptomatic 6 days back. when he had a binge of alcohol . he lost consciousness at his workplace and was taken to the hospital. At the hospital, the correction fluids were given and the patient was sent home. 8th morning  he had 2 episodes of involuntary movement of body (tonic movements with stiffening of body) lasting 1-2 minutes and relieved on itself.  His wife checked his general random blood sugar  at home after this episode and it was found to be 60mg/dl after which he was rushed to the hospital. In the hospital the correction was done inspite of which involuntary movements continued. He was then brought to our hospi

CASE OF 34 YEAR OLD MALE

Image
Hi, I am Rushikesh zade  a medical student . This is an E-Log, that depicts the patient centered approach for learning medicine .This E-Log has been created after taking consent from the patient and their relatives. The links that were used by me for understanding the available data on the particular disease have been mentioned below in each post . Hope you learn valuable information after giving it a good read ! CASE OF A 34 YEAR OLD MALE  This is the case of a 34 year old male , autodeiver by occupation , resident of West Bengal who presented to the hospital with chief complaints of  - pus coming out from behind the upper left last molar since 1 month  History of Presenting Illness The patient was apparently asymptomatic 1 and a half  year ago when he developed pain in the left jaw . The pain was sudden onset , continuous , dull aching in character, present at the point in the upper left jaw behind the last molar. The patient describes the pain with heaviness of the jaw. The patient