45yr male with Heart failure July 20, 2020 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 is welcome. Case: A 45 y old male upasarpanch by occupation and resident of nalgonda came to the hospital with the chief complaints of Pedal edema since 15 days Difficulty in walking since 15 days Sob since 5 days HOPI Patient was apparently asymptomatic 15 days back then he developed bilateral pedal edema which is of pitting type intially upto ankle later progressed to knees Difficulty in walking since 15 days as patient felt heaviness
Posts
June 26,2020 Hello everyone... I am sivani an intern in the medicine department and of the important terms of getting the internship completion is to complete my log book with my online log of what i have learnt during my clinical course. "This is an online e log book to discuss our patients deindentified health data sharing after his/ hers guardians signed informed consent. Here we discuss our indi6vidual patients problems through a series of inputs from available global online community of experts with an aim to solve those patients clinical problems with collective current evidence based inputs. This elog also reflects my patient centered online learning portfolio and your valuable inputs on the comments box is welcome. Casepresentation 30 yr male carpenter by occupation came to opd with C/o shortness of breath since 10 days C/o pedaledama since 10 days C/o cough since 4days C/o headache since 4 days History of present illness Pt is apparently
Thursday, May 28, 2020 Right heart failure Hello everyone.....!! I am an intern in medicine department and one of the important terms of getting the internship completion is to complete my log book with my daily log of what I learn during the course of my duties. CASE PRESENTATION: A 45year old Male labourer came to the hospital with the chief complaints of dribbling of urine since 1 week, burning micturition since 1week , shortness of breath since 1week. Anuria since 3 days. HOPI- - He was apparently asymptomatic 1 week back then he developed dribbling of urine associated with burning micturition without fever, low backache, suprapubic tenderness. -Associated with B/L pedal edema upto knee of pitting type. -Associated with shortness of breath grade 3 since 1 week progressed from grade 2 within 10 days.No h/o orthopnea and PND. No h/o palpitations, loss of consciousness,giddiness. -C/o constipation since 1 week not associated with obstipation. C/o nausea since 1 week with bu
28yr male with pain abdomen September 10, 2020 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 is welcome. Case presentation: A 28 yr old male pt was apparently asymptomatic 1month back.He observed that on long standing he developed swelling of both legs which relieved on rest. 12days back he had epigastric pain which was spasmodic type,no aggrevating and relieving factors,for which he had consulted a doctor who gave medications for his pain. 6days back- As the pain didn't get relieved with medications he consulted anothe
CASE A 46 years old male patient came with complaint of chest pain for 30 minutes yesterday evening and shortness of breath on exertion. HOPI : Patient was apparently asymptomatic 5 years back then he developed pedal edema which was pitting type associated with abdominal distension and shortness of breath grade IV and got admitted outside hospital for 20 days and got discharged. History of chest pain, shortness of breath 3 years back and got admitted, angiogram was done and clot was removed, got discharged. History of similar complain 1 year back and got admitted at KIMS Narketpally. Yesterday he complained of chest pain which was pricking type, radiating to left arm which lasted for 30 minutes and associated with sweating. No history of palpitations. History of shortness of breath on exertion (immediately after 3 to 4 steps) and relieved on rest. No history of syncopal attack. No history of pedal edema. No history of pain abdomen. No history of decreased urine output
A 30 year old shepherd from Gopanatlapuram presented to the OPD with complaints of Dyspnea and pedal edema since 15 days. An able shepherd who finished schooling till Class 7 and eventually pursued his current occupation with his father, the patient had been having a fairly fulfilling life until last October when he first reported breathlessness while taking the herd atop a molehill. He remembers the event as he felt scaling this molehill was quite easy for him before but this time he felt breathless and had to rest for a while to catch up his breath. Retrospectively he says that he had a feeling of suffocation and felt relieved after a few minutes in the shade. The patient also reported that such events have been progressive since October and that on quite a few occasions he felt heavy pounding palpitations in the middle of his chest. He says that these palpitations too were exertional and relieved with rest. He also reported that he occasionally felt very dizzy with near blackin