priyanka

  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 also reflects my patient-centered online learning portfolio and your valuable inputs on the comment box is welcome. Here is a case i have seen:  65 year old man presented with the complains of Dyspnea since 1 week Bilateral pedal edema since 1 week Abdominal distension since 1 week Reduced urine output since 5 days    He used to work as a carpenter at Nalgonda. His wife works as a daily wage labourer. He started having bilateral knee joint pains since 15 years for which he started taking 'pain killers' as described by the patient and the attendant. 10 years back, at hi...

1) A 55 year old man with Recurrent Focal Seizures 1. A 55 yr old man who is diabetic alcoholic and chronic smoker came with complaints of weakness of right upper limb right upper limb monoparesis  and GTCS may be due to infarct in temporoparietal region  2.as cortical fibres are supplied directly by larger artery (main or only supply)  and sub cortical are supplied by smaller branches it is simple to occluded smaller ones( end arteries ) thus sub cortical infarcts are more common 3.ischemia hemorrhage will lead to increased permeability and increased neuronal excitability and  seizure threshold is decreased will lead to seizures 4 it is ventricular fibrillation with left axis deviation enoxaparin should be given  Enoxaparin  is the only LMWH compound to have demonstrated sustained clinical and economic benefits in comparison with UFH in the management of unstable angina/  non–ST-segment elevation myocardial infarction  (NSTEMI).  https://www...

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 also reflects my patient-centered online learning portfolio and your valuable inputs on the comment box is welcome. Here is a case i have seen: 35 years male  Daily wage labourer, married 10 yrs back ,has 2 sons (9yrs,7yrs) used to drink 90 ml /day started at the age of 20yrs , stopped 3yrs back (bcoz of his wife) . Again started from 4 months daily bcoz of his friends (90ml/day). 10 days back he went to a function ,got drunk  and had a fall from bike (no h/o loc, vomitings,bleed from ears ,nose; headache, dizziness.) Injury to lateral side of leg by bike silencer 5 x3...

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 also reflects my patient-centered online learning portfolio and your valuable inputs on the comment box is welcome. Here is a case i have seen: 13 years old boy came to casuality with chief complaints of fever 4 days back and complaints of shortness of breath 2 days back Fever is intermittent type, low grade in nature with no diurnal variation and was not associated with chills or rigors . For which he was taken to a local hospital and fever subsided with medication and later he developed shortness of breath after 2 days which was Grade 2 on ordinary activity and was taken again to a...

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 also reflects my patient-centered online learning portfolio and your valuable inputs on the comment box is welcome. Here is a case i have seen: 30 years male patient came with chief complaints of vomitings since 2 days associated with epigastric pain. Patient was apparently asymptomatic 2 days back then after eating spicy food (green chillies)he had first episode of vomiting which was non projectile contains food particles, non foul smelling. He took alcohol 3 days back (90 ml) that night he had multiple episodes of vomitings (8 episodes) he went to a rmp near by he gave some inj and...