second Internals

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1801006011 - SHORT CASE

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 This is an online E logbook to discuss our patients' 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 the available global online community of experts intending to solve those patients' clinical problems with the 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 are 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, and investigations, and come up with a diagnosis and treatment plan. CASE PRESENTATION 27 yr old male came with complaints of Generalised weakness since 10 days Difficulty in breathing since 10 days Easy fatigability since 10 days HOPI: pa...
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56F Abdominal pain 5 years, ileal perforation 1 year, Lump abdomen 1 month

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 A 56 year old female have complaints of pain abdomen since 10 days History of presenting illness-patient was apparently asymptomatic 6 months ago then she was diagnosed to had intestinal obstruction for which she got operated.Now she has complaints of left iliac fossa pain since 3 months aggregated since 10 days pricking type of pain continuous and associated with fever. No ho vomiting,diarrhoea  No h/o blood in urine,Malena ,no h/o headacge,dizziness. No h/o SOB, palpitations,chest pain. K/c/o intestinal TB 3 years ago(used ATTmedication for 1year) K/c/o hypothyroidism 10 years ago on thyronorm 50 MCG  K/c/o CAD 6 months aho N/k/c/o hypertension,diabetes,asthma,epilepsy. Treatment history Sx laparotomy for iliac perforation. Personal history: Diet :Mixed Appetite : normal Sleep: adequate  Bowel and bladder movements: regular No significant family history General Examination: Patient is conscious,coherent and cooperative Moderately built and nourished Pallor, icteru...
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1801006011 - LONG CASE

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  48 year Male came to the medicine OPD with chief complaints of  Difficulty in breathing since 2 days  decreased urinary output since 2 days Swelling of lower limbs on and off since 1 year HISTORY OF PRESENTING ILLNESS Patient was apparently asymptomatic then he developed bilateral pedal edema on and off in nature since 1 year from knee to ankle region, and was on conservative treatment. He went to local hospital and was diagnosed with hypertension and started using medication (drug-Telmisartan dosage-40mg)since 1 year. 2 days ago at night patient developed sob sudden in onset and gradually progressive, class 3, associated with orthopnea. associated with PND urine output was narrow streamlined urine history of intermittent fever not associated with chills and rigor  not associated with chest pain  not associated with sweating  no history of burning micturition DAILY ROUTINE  patient wakes up at 530 in the morning and does his household chores and goes...
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