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Showing posts from June, 2022

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.

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Short case Prashanth Reddy Anugu Hall ticket: 1701006141 A 30 year old female patient, who is a housewife and resident of Nalgonda came to OPD with chief complaints of  Facial puffiness for 4 days    Pedal edema for 4 days Shortness of Breath for  2 days Abdominal pain for 2 days History of presenting illness : Patient was apparently asymptomatic 7 months back. Then she developed facial puffiness  (which was insidious in onset, gradual in progression and was observed on waking up in the morning) and  Bilateral leg swelling (which was of grade II) .For this the patient consulted the Physician, who after investigating put the patient on certain medications and both the complaints got better.  Now four days back ,she again developed pedal edema of both legs and facial puffiness. Two days ago ,patient developed shortness of breath which was insidious in onset , gradually progressed to grade 4 and was not affected with change in position ,without any ag...

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 based inputs.

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Long case Prashanth Reddy Anugu Hall ticket no: 1701006141 A 65 year old male patient, a resident of Cherlapalli ,confined to home for the last 2 years ( previously was a daily wage laborer ) came to the OPD with chief complaints of  [Date of admission :2/06/2022 & Date of examination :4/06/2022] COUGH for 1 month , SHORTNESS OF BREATH for 5 days &   FEVER for 5 days    HISTORY OF PRESENTING ILLNESS: Patient was apparently asymptomatic 1 yr back . Then he had a cough with sputum for 3 weeks . On consultation with the local physician ,he was found to have Tuberculosis after examination of sputum. He was then started on Anti-Tubercular drugs .Once he started to feel better with the ATT, he stopped taking them   after 3 months . But recently a month ago ,   he developed cough which was gradual in onset and progressive in nature , associated with expectoration [half a cup per day ,dark red in color ,mucoid in consistency ] and  without any agg...