Posts

A 18 year old with chronic kidney disease

Image
This is an a online e log book to discuss our patient de-identified health data shared after taking his / her / guardians signed informed consent. Here we discuss our individual patients problems through series of inputs from available global online community of experts with an aim to solve those patients clinical problem with collective current best evident based input. This E blog also reflects my patient centered online learning portfolio and your valuable inputs on the comment box is welcome. I have been given this case to solve in an attempt to understand the topic of " patient clinical data analysis" to develop my competency in reading and comprehending clinical data including history, clinical findings, investigations and come up with diagnosis and treatment plan.This is an a online e log book to discuss our patient de-identified health data shared after taking his / her / guardians signed informed consent. Case report A 18 year old female presented with chief complain...

13YR OLD GIRL WITH NEPHROTIC SYNDROME

Image
This is online E-blog, to discuss our patient de-identified health data shared after taking her guardian's signed informed consent. A 13years old girl who is a student studying in hostel located at annaram,came with complaints of Bilateral lower limb swelling since 15days.  HOPI:Patient was apparantly normal 2months back and then she developed nausea and vomitings 4 episodes for 3 days.content food particles.Non bilious.Not associated with pain abdomen.No loose stools.Now since 15 days patient developed bilateral lower limb swelling initially till ankle and now progressed to generalised swelling with puffiness of face. No history of SOB,No burning micturition,No fever,No skin rashes. History of irregular menstrual cycles since menarche (achieved her menarche at 12 years)menstrual cycles were once in every 3 months.Last menstrual period 30/05/2022. Not a known case odf DM,HTN,THYROID,CAD,CVA,BRONCHIAL ASTHMA. History of acute gastroenteritis 2 months back.o GENERAL EXAM...

A 26year old Patient came to casuality with shortness of breath

Image
  This is an online e-log book to discuss our patient's de-identified health data shared after taking his/her/guardian's 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 26 year old male patient, resident of adauidulpally, Nalgonda district farmer by occupation came to our hospital with chief complaints of - 1. Shortness of breath 2. Loss of appetite 3. Low grade Fever  4. Pedel edema Date of admission :- 05/04/2022 History of present illness: - Patient was apparently normal 1week back , then he had one episode of low grade fever, Generalized body pains, burning micturtion but relieved with medication.Then developed pedal edema,initially till ankle Loss of appetite  4-5 days back associated with nausea and  4 days back one episode of vomiting  Non bilious and no ...

2yr OLD BABY WITH PAINLESS DEFORMITY OF FOOT (LEFT) :AT BIRTH

Image
 CHEIF COMPLAINT: Painless deformity of left foot. PATIENT HISTORY:A 2yr old male baby visited our hospital on 21/02/22 with painless twisted left foot.Father of patient is a farmer by occupation. The baby born with deformed foot at birth.The patient was active without any pain in the foot , apetite is normal . His parents took him to the hospital in Hyderabad at 5 months of age. Casting for foot is done on 25/5/20.6 castings are applied for 6-8weeks. But the deformity of foot was not lost completely .So the patient came to opd with twisted foot after discontinuing the casting procedure. PERSONAL HISTORY: • Patient has no loss of appetite • Bladder movements are normal • Bowels are regular • No known allergies are seen • achieved all the milestones FAMILY HISTORY: • There are no similar complaints are seen in the family members • No such deformities are seen in any of the family members TREATMENT HISTORY: • Casting technique is done for 6-8weeks  • No surgeries are done GENERA...