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Showing posts from June, 2022

50 year old male with stroke

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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 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.” A 50year old male patient  from   naryanapuram   Presented to casualty(29-06-22)with the chief complaint  of  giddiness and weakness in both lower limbs since afternoon .               HOPI: Patient was apparently asymptomatic 1day back then he developed headache and dizziness for 30min on and off  i n the early morning but still he went to perform  his daily work activities (i.e.agriculture) from the afternoon then he had  a deviation of mouth towards right side wit

Ckd case

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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' 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. 57yr  old male patient farmer by occupation presented with cheif complaints of  Bilateral lower limbs swelling associated with pain since 5 days Decrease urine output since 5 days Fever during dialysis since 2 days. HOPI: Patient was apparently alright 1 year back following which he developed bilateral lower limb swelling associated with shortness of breath, pain in flank and decreased urine output and fever then he visited local physcian where he was diagnosed with chronic renal failure and referred to nephrologist near by and started medical management for CKD. Since then patient is on conservativ