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Showing posts from January, 2021

75 yr old male with c/o of SOB

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It 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. Chief complaints: pt came with c/o shortness of breath (today 9:00pm ) pt was admitted for similar complaints on 23/12/2020 and got discharged on 25/12/2020 with  TAB. CARDIVAS3.125MG /OD TAB. ECOSRRIN AV (75120)H/S OD TAB.CLOPIDOGREL 75 MG  TAB.RAMIPRIL2.5MG OD FORACART 200 MCG ×2 PUFFS×OD pt is having SOB since 1year H/O present illness pt was apparently alright 1 yr back then he had insidious onset of SOB on exertion.he walks for some distance and takes rest for sometim

bimonthly assessment (January)

26 year old woman with complaints of altered sensorium somce 1 day,headache since 8 days,fever and vomitings since 4 days https://harikachindam7.blogspot.com/2020/12/26-year-old-female-with-complaints-of.html a). What is the problem representation of this patient and what is the anatomical localization for her current problem based on the clinical findings? ans.)it is a case of 26 yr old female with C/O headache since 8 days,which was followed by neck pain and fever who is a k/c/o SLE since 3 years who stopped medications 1 month back Anatomical localisation: based on complaints,of head ache,neck pain and fever,it is most probably meningitis. b) What is the etiology of the current problem and how would you as a member of the treating team arrive at a diagnosis?  ans.)Mycobacterium tuberculosis most probably because H/o meningitis symptoms and also family history (Her father in law has been active pulmonary Koch’s and finished his course of medication six months ago) c) What is the effi