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Showing posts from October, 2020

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 ...

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 al...

45 year old male with decompensated liver disease with portal hypertension,ascitis,bilateral lower limb cellulitis , alcohol dependence syndrome, hepatic encephalopathy(resolved) , uti and microscopic hematuria

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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 45 year old male farmer by occupation presented to opd c /o bilateral pedal edema since 4 months Abdominal distension since 4 months Ulcer on left foot 15 days ago  Patient was apparently asymptomatic 4 months back then he developed  b/l pedal edema which was insidious in onset pitting type associated with abdominal distension which was also insidious in onset for which he was admitted and got discharged 2 months back.patient deve...