General 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 box is welcome.  A 56 yr old Male who is accountant was apparently asymptomatic 6 years back then he developed Shortness of breath, palpitation, Giddiness, buckling was present when he was going to home from his work.Then he came to our hospital , unknown medications were given,his symptoms were relieved.He developed  shortness of breath( Grade 2), pedal Edema till knee  which was dependent,giddiness and palpitations       1  1/2 year back for wh...

  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 history-by Dr.Aditya samitinjay  A 65 year old man presented to the OPD with a 2 day history of left sided weakness. An able farmer with a chiselled body, the patient was his usual self 2 days ago, and just before going to sleep he wanted to urinate. As he got up from his bed and started walking towards the bathroom, the patient suddenly slipped and fell with a moderate force on his left hip. He immediately felt weakness in his left upper and lower limb....

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. A 62 year old female ,sweeper by occupation was apparently asymptomatic 30 days back .After 3 days of wearing anklets,she developed ulcer on right ankle -lateral side.she came to our hospital on 19 th july for ulcer and she was advised regular dressings with magnesium sulfate crystals and glycerine.As they couldn't do the dressings nor bring her to the hospital they took her to local RMP for dressings where they checked her previous reports showing FBS-183mg/dl and was advised Tablet containing Glimepride and Metformin .on August 3rd she had first episode of sweating,giddiness ,her family member...

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. A 28 year old male working in a chemical drug company was apparently asymptomatic 5 years back when he was studying MBA then he developed first episode of headache for 2 dayswhich was preceded by blurring of vision, irritability,giddiness,vomiting and headache is of throbbing type , He went to RMP where he was given medication .Pain  got slightly relieved on medication,aggravated in  noisy environment.3 years back he developed similar complaints (2nd episode)when he was working as supervisor in construction work.He felt the triggering fact as smell of chemicals which is from pharmacy company beside h...

This is an online E log book to discuss our patient's deidentified 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.  A 60 yr old Man who is a government employee who does tree plantation came to the hospital with complaints of  -left lower limb swelling ,fever, and pain since 11 days, -shortness of breath at rest since 3 days  -vomiting and Diarrhoea since 1 day . HOPI :  patient was apparently asymptotic 15 days back then he sustained thorn prick at the posterior Lower aspect of leg during his work . The thorn was removed . *on 5 th day he developed swelling near the wo...