Ballal shruthi

  This is an online E-log book to discuss our patients de-identified health data shared after taking his /her/ guardian informed consent here we discuss our individual patients problems through series of input from available global online community of experts with an aim to solve those patients clinical problems with collective current best evidence based inputs. Date of admission: 17-12-2021 A 28 year old male patient came to the casualty with a chief complaint of bleeding per rectum   and pain on defecation since 2 months  and  complaints of itching all over the body since 2 months  HISTORY OF PRESENT ILLNESS: Patient was apparantly asymptomatic 15 years ago, then he developed pain and difficulty on defecation and bleeding per rectum. Whenever he had pain & bleeding during defecation he used to take OTC medication and the pain used to get subsided . In 2016 patient visited to  local hospital and got diagnosed with internal and external haemorrhoi...

  This is an online elog book to discuss our patients de-identified health data shared after taking his /her/ guardian informed consent here we discuss our individual patients problems through series of input from available global online community of experts with an aim to solve those patients clinical problems with collective current best evidence based inputs. 54 years old male patient came with chief complaints of shortness of breath and left lower limb swelling since 5 days . HISTORY OF PRESENT ILLNESS:- Patient was apparently asymptomatic 5 days back and then he had a injury to his left leg followed by itching in the leg and developed left lower limb swelling associated with shortness of breath ( grade II- III) according to NYHA  classification. No history of chest pain/palpitations. No history of chronic cough/hemoptysis In 2016 patient visitted to  the hospital  due to pedal edema where patient had Ischemic encephalopathy followed by 4 sessions of dialysis wa...

 This is an online e log book to discuss our patient de-identified health data shared after taking his / her /guardians signed informed consent. Here we discuss our individual patients problems through series of inputs from available global online community of experts with an aim to solve those patients clinical problem with collective current best evident based input  48 YEAR OLD MALE WITH ACUTE GASTRITIS A 48 yr old male farmer by occupation came to the casualty with a chief complaint of abdomen pain since 10 days and complaints of severe vomitings since 1 day  HISTORY OF PRESENT ILLNESS: Patient was apparantly asymptomatic 10 yrs ago,  and then diagnosed with DM , Hypertension 10 yrs ago, and started regular medication since then.  Complaints of abdominal pain since 10 days which was aggrevated since 3 days . Complaints of vomitings since 1 day ie., 10-15 episodes which got subsided now  No complaints  of fever , loose stools, cough, Shortness of Br...

 This is an online e log book to discuss our patient de-identified health data shared after taking his / her /guardians signed informed consent. Here we discuss our individual patients problems through series of inputs from available global online community of experts with an aim to solve those patients clinical problem with collective current best evident based input  A 35 year old female patient came to casualty with chief complaint of neck pain and headache since 4 days. Patient was apparently asymptomatic 1 month back. Then she attended a marriage and when she returned home she developed chills and fever. So she visited a doctor in kattangur and was adviced medication. Her fever did not get subsided, so she visited another doctor in nakrekal and she was diagnosed to have mild typhoid and she was adviced medication. After 2 days she developed neck pain and headache. PERSONAL HISTORY - Diet- Mixed  Appetite- Normal  Sleep- adequate  Bladder habits - Regular Bo...

 This is an online elog book to discuss our patients de-identified health data shared after taking his /her/ guardian informed consent here we discuss our individual patients problems through series of input from available global online community of experts with an aim to solve those patients clinical problems with collective current best evidence based inputs. Date of admission: 4/11/21 36 yrs old male was apparently alright 4 yrs back, had low backache went to outside hospital and found out to be deranged RFT . 4 months back patient came to casualty with c/o grade IV, pedal edema, decreased urine output HISTORY OF PRESENT ILLNESS: diagnosed as chronic CRF , 5 sessions of haemodialysis later patient continued as MHD now came for re- admission  HISTORY OF PAST ILLNESS:  history of hypertension from 4 months  Diabetes mellitus from 2 yrs  On dialysis since 4 months  No tuberculosis No asthama No Lymphadenopathy No history of trauma  No history of previo...

  This is an online elog book to discuss our patients de-identified health data shared after taking his /her/ guardian informed consent here we discuss our individual patients problems through series of input from available global online community of experts with an aim to solve those patients clinical problems with collective current best evidence based inputs. 22 years old female daily wage labourer by occupation presented to the opd with c/o pain and swelling in left lower limb since 1 month . HISTORY OF PRESENT ILLNESS: Patient was apparantly asymptomatic 1year ago then she had  round skin lesions which are associated with itching then they went to local doctor and used some topical ointment for period of 3-4 months patient did not get any relief so they again went to doctor then patient was prescribed with Avil and Decadran injections and patient used them for a period of 3-4 months even then patient did not got relieved from her skin lesions and then she came to our hosp...

 This is an online elog book to discuss our patients de-identified health data shared after taking his /her/ guardian informed consent here we discuss our individual patients problems through series of input from available global online community of experts with an aim to solve those patients clinical problems with collective current best evidence based inputs. Date of admission: 21 October 2021 A 60 yr old male who is a farmer by occupation came to the OPD for the dialysis diagnosed as kidney failure 1 1/2 back . He went to local hospital and was diagnosed with renal failure( serum creatinine 3mg/dl) Chief complaint: patient complains of shortness of breath, sleeplessness, swelling of limbs. HISTORY OF PRESENT ILLNESS : •Pedal edema  • Anorexia  • Fever  • Dyspepsia  •  Insomnia  • Serum creatinine levels - increased (2 mg /dl)  • Decreased urine output  Presently on dialysis on MHD  HISTORY OF PAST ILLNESS :  On dialysis since 1 a...