M.Laxmi Sri

  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 CHIEF COMPLAINT :- A 48 year-old man (driver by occupation)came to the hospital with complaints of : -  Bilateral Pedal edema since 1 month. Shortness of breath since one week and aggrevated at 1:30 am on 19/12/2021. Productive cough since 2-3 days.  HISTORY OF PRESENT ILLNESS:- The patient was apparently asymptomatic 1 month ago when he noticed swelling in both his legs which was gradually progressive, extending to his knees.  H /o increased shortness of breath since 1 day which aggravated to Grade 4 SOB since 2 hours from 1:30 am on 19/12/21,a/w orthopnea and PND.   H/o Productive co...

  This is an online e-log book to discuss our patient's de-identified health data shared after taking his/her/guardian's 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. Date of admission:-27/11/2021 CHIEF COMPLAINT:- A 70 yr old male patient farmer came to the opd with c/o : Sob since 10 days. Scrotal swelling since 12 days Generalised swelling of body since 12 days Facial puffiness since 12 days C/o constipation since 12 days (passing stools only on medication). NORMAL ROUTINE OF PATIENT:- Patient use to wake up at 5AM in the morning daily. He used to brush and have a cup of tea. He consumes breakfast around 8-9 am . He goes to farming at 10 am and work until 4pm .He takes his lunch around 1-2 pm . Then he returns home watches TV and have dinner by 7 pm and goes to sleep...

II - INTERNAL ASSESSMENT 1) Anatomical and etiologic localization for hemiparesis and further management         1x9=9 2) Etiology pathogenesis clinical features management complications of acute pancreatitis. 1x9=9 3)Dengue Fever clinical features and complications. 4)Cushing syndrome. 5)Mandibular advancement device.   Not attempted.   6)Cardiogenic pulmonary edema.     7)Rheumatoid arthritis 8)Leptospirosis.       9)Heart failure.         10)Ascites. 11) Pyrexia of unknown origin. 12)Drug induced liver injury. 13)Evaluation of low back ache. 14)Renal artery stenosis. 15)Acute kidney injury. 16)Oral hypoglycemic agent. 17)Micro vascular and macro vascular complications of diabetes. 18)Lights Criteria Not attempted 19)Metabolic acidosis 20)Iron deficiency anemia