A 45YRS OLD FEMALE PATIENT WITH PALPITATIONS, PEDAL EDEMA, RADIATING PAIN ALONG LEFT UPPER LIMB

Pt came with c/o cough with expectoration since 15 days SOB-10 days Decreased urine output -10days Pedal edema-10days Constipation-10days Facial puffiness -2days HOPI Pt was apparently asymptomatic 6 months back then he had ,cough heametemisis (4times), alternative dark brown coloured (melena) and bright colored blood(hematochizia) following this he had loss of consciousness he was taken to hospital ,treatment was given for blood loss (2 transfusions)and late r on next day he had regained consciousness .Now patient had Cough since 15 days, associated with sputum which is white in colour,copious in amount,it is also associated with pleuritic chest pain on coughing cough is more during night time,relived by taking medication SOB since 10 days(grade 2) associated with orthopnea,PND Past History: no similar complaints in the past Personal history Appetite-decreased Diet -mixed Bowel and bladder-constipation , decreased urine output Sleep-decreased due to cough Alcohol history- since 50 yrs...

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.  Pt came with c/o of  Pedal edema -10days Facial puffiness -10days Fever -7days Sob -4 days Dry cough -4 days HOPI Pt was apparently asymptomatic 15 days back then she had pedal edema, facial puffiness since 10 days which are not associated with burning micturition,no decreased urine output,no loin pain C/0 fever since 4 days which is continuous and no diurnal variation,but it is associated with chills and rigors C/0 dry cough since 4 days,it is associated with pain while coughing Shortness of breath since 4 days (grade 3-4)  orthopnea+   No PND,chest pain Past History: Pt had similar comp...

GM Blog: 60 year old female patient  NOTE This is an ongoing case and will be updated  The reference link (if any) will be mentioned at the bottom. Date of admission: 31-10-2022 CHIEF COMPLAINT: patient came to the opd with complaints of fever since 3 days and c/o cough associated with sputum  since 3 days  C/o hoarseness of voice and throat pain since 3 days  C/o decreased appetite since 5-6 months  C/o weight loss approximately 20kg over the last 1 year. HISTORY OF PRESENT ILLNESS- Patient was apparently asymptomatic 3 days back then she got fever and cough associated with sputum. She also had hoarseness of voice since 3 days. She had loss weight of 20 kg over 1 year. PAST HISTORY: Hypertension since 6 months not on regular medication  Hypothyroidism since 1 year on regular medication Diabetes mellitus since 6 years on regular glimiperide 1mg , metformin 500mg and saxagliptin 50mg PERSONAL HISTORY: Married  Moderately built and nourish...

This is an online E log book to discuss our patient's de-identified health data shared after taking his/her/guardian's consent. This E log book also reflects my patient-centered online learning portfolio and your valuable inputs in the comment box below. Note : This is an ongoing case and will be updated regularly.  Date of admission: 31/10/2022 A 55 year old male, farmer by occupation came to casuality with shortness of breath, pain in  lower abdomen Chief complaint: Shortness of breath, pain in abdomen on touch since yesterday  History of presenting illness: Patient was shifted to this hospital due to development of shortness of breath while getting discharged from another hospital in his locality where the patient was diagnosed with jaundice. Patient was apparently asymptomatic 1 days back when he developed high grade fever since 1 week , vomiting since 3 days with 7 to 8 episodes of vomiting which was bilious, non projectile in character constituting of no food conte...

E-LOGS OF MEDICINE "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 56 year old male, daily wage labourer came with c/o Pain abdomen since 20 days Multiple masses per abdomen since 1 week Fever (high grade) associated with chills and rigorous since 1 week. History of presenting illness : Patient was apparently asymptomatic 5 months back, then he developed dry cough which was sudden in onset, gradually progressive. Later he had fever - high grade, associated with chills and rigor. He went to the hospital for the above compl...