general med elog

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"     A 67 YEAR OLD MALE WHO IS A FARMER BY OCCUPATION CAME WITH C/O PEDAL EDEMA SINCE 6 MONTHS, SOB GRADE-2 SINCE 2 MONTHS,  AND COMPLAINTS OF LOW BACK ACHE SINCE 2 MONTHS.   Timeline of events NOT A K/C/O DM,HTN,BA,TB TREATMENT H/O-NO KNOWN DRUG ALLERGIES ,ON INHALERS I/V/O COPD SINCE 2 YEARS PERSONAL H/O- MARITAL STATUS-MARRIED OCCUPATION-FARMER APETITE -NORMAL BOWEL AND BLADDER MOVEMENTS REGULAR ADDICTIONS-NON SMOKER ALCOHOL-OCCASIONAL INTAKE (LAST BINGE -6 MONTHS BACK) FAMIL

  A 65 yr old male came to casuality with c/o diffuse chest pain and right sided abdominal     pain since yesterday morning 3am   C/0 vomitings since yesterday evening  HOPI: pt was apparently asymptomatic 4day ago then he had on and off right sided  abdominal pain gradually progressive not radiating to back not relieving on rest and pt also had 2 episodes  of vomiting non bilious , non projectile , food as content .  Associated with chest pain which was insidious in onset gradually progressive  Squeezing type of pain . He had similar complaints  1 year ago , treated conservatively . Pt was chronic alcoholic from 10years ,daily he consumes 90ml/day  Last intake of alcohol - 1 day ago  No H/0 of loose stools , fever , palpitations ,constipation ,burning micturition  Past history : not a k/c/o DM , HTN, Asthma, epilepsy, thyroid . O/E: Patient is conscious ,coherent and cooperative moderately built and moderately nourished  No pallor/Icterus/Cyanosis/Clubbing/Generalised Lymphadenopathy/

    Thursday, March 3, 2022 59Y/F with hyponatremia 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 CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE BASED INPUT A 59Y/F  brought to the casualty with c/o involuntary movements of B/L upper limbs and lower limbs ,GTCS type , with uprolling of eye, tongue bite, involuntary micturition, lasting for 2.min , with post ictal confusion + ,aura -. H/o vomitings, (4-5 episodes in a day), nonbilious, non projectile, food particle as content H/o pain abdomen since yesterday diffuse type,  No c/o cold, cough, fever, burning micturition, headache ,trauma, Loc. Past history:-N/k/c/o Dm/htn/epilepsy/ CAD/Ba/thyroid disorders. Personal history:- Married Occupation Housewife Diet  - Mixe