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Bimonthly internal assessment (november)

CASE : 1 1) "55 year old male patient  came with the complaints of  Chest pain since 3 days  Abdominal distension since 3 days  Abdominal pain since 3 days and decreased urine output since 3days and not passed stools since 3days. https://sreejaboga.blogspot. com/2020/11/is-online-e-log- book-to-discuss-our.html?m=1 A) Where are the different anatomical locations of the patient's problems and what are the different etiologic possibilities for them? Please chart out the sequence of events timeline between the manifestations of each of these problems and current outcomes.  Gallbladder,pancreas,Rt lung,kidney,thyroid. Gall stones due to Hypertriglycerdemia a-acute pancreatitis mostly due to gallstones . it can be alcohol  also acute pancreatitis leads to SIRS Bcz of SIRS exudative pleural effusion on rt side of heart. AKI due to prerenal cause that is acute pancreatitis usg abdomen,CXR,sr.amylase,CBP,RFT, 2D echo,TFT,ascitic tap,pt,lipid profile B) What are the pharmacological and
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25 year old male with D9, D10, D11, D12 laminectemy and L1, L2, PSF (post spinal fusion) with grade 4 bedsore

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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 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. Here is a case i have seen: Pt alleged to have sustained injury to mid back area due to fall from height during work. Pt c/o pain mid back area since the incident. Pt also c/o loss of sensations and unable to move his lowerlimbs since the incident. Pain aggrevates on moving on bed and relieves on rest.  No micturition / defecation occured since the incident,so bowel and bladder movements are abnormal.  No h/o any head injury/loss of consciousness /seizures /ent bleed.
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A 60 year old male k/c/o right below knee amputated lower limb with ? Cellulitis,pre renal AKI 2° to ?cellulitis ?nsaid abuse, acute liver injury with direct hyperbilirubinemia, hypoalbuminemia

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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 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. Here is a case i have seen: 70 yr old male came with  C/o unilateral swelling in right post amputated leg since 4days  Fever since 4days subsided on day2  A/w vomitings since 4days  7-8 episodes of vomiting in last 2days  Decreased urine output 2days back  Patient was apparently asymptomatic 4ays back then he noticed swelling in his right lowerlimb (amputated 3years back)when he was his way back from field which he went for digging a canal later he developed fever whi
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35 year old male with periferal neuropathy under evaluation,Hypokalemic periodic paralysis(secondary to diuretics use) overcorrected to hyperkalemia, pedal edema and SOB under evaluation(resolved),chronic alcoholic

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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 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. Here is a case i have seen: A 35 year old male presented to the opd C/o pedal edema since 1 month(resolved)  c/o weakness of bilateral limbs since 6 days Pt was apparently asymptomatic 1 month ago then he developed bilateral pedal edema upto ankles pitting type and used medication for 4 days(diuretics)  No h/o SOB, chest pain, palpitations,abdominal distension, yellowish discoloration of eyes, fever, cold, cough, decreased urine output  C/o weakness of all 4 limbs sin
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