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Showing posts from March, 2022

A 54 year old patient came to casuality with incisional herina

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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 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. A 54 year old female patient, resident of adauidulpally, Nalgonda district tobacco worker  by occupation came to our hospital with chief complaints of - 1. Inicisional hernia 2. Swelling in right side of abdomin  3. Hernioplasty Date of admission :- 15/03/2022 History of present illness:- Patient was apparently asymptomatic 5 days back , then she noticed a swelling in the hypogastrum extending to right side iliac fossa(10×15 cms) which was reducible on lying on and protruding out on raised intra abdominal pressure  Tendreness present  Cough present No H/o of vomitings, loose stools,No H/o of constipation, No

A 24 yr old male came to casuality with reduced urine output.

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March 13, 2022 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. A 24 year old male patient, resident of Devarakonda, Cowherd by occupation came to our hospital with chief complaints of- 1. Reduced urine output with involuntary in action 2. Shortness of breath which is insidious in onset, gradually progressive 3. Pedal edema. Date of admission :- 09/03/2022 History of present illness:- Patient was apparently asymptomatic 10 days back and developed fever which is insidious and intermittent, and reduced urine output with involuntary in action. History of past illness:- Not a known case of diabetes, hypertension, tb, epilepsy 10 years ago he had same problem.

48 year old with year old male with compound grade-2 schatzker type 6

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48 year old male with compound grade-2 schatzker type 6  12 /03/22 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 . A 48 year male us reported at the casualty at 6.00 pm from cheemalagadda on 21 /2/22 after an accident  History of presentillness , There was no consumption of alcohol, after the accident he was taken to a local hospital from there he was referred to our hospital  He got injured in his left leg ,he was enable to walk He had no History of head injury, seizures,nausea  Past history  He has no history of tuberculosis, as