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Showing posts from June, 2023

Hypoglycemia

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This is an online E logbook 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 an available global online community of experts to solve those patients 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 are welcome. 47Y/M driver by occupation, resident of lingotam came to casualty on 18/6/23 with chief complaints of; Loss of consciousness since early morning 5am; Burning micturition since 3 days; History of presenting illness: Patient was apparently asymptomatic 4 days back when he became unconscious and was brought to casualty (Grbs 35mg/dl) and was treated for hypoglycemia and he became responsive. C/o of burning micturition since 3 days. H/o similar complaints  1 week ago . Patient came to casuality with h

Bilateral lower limb swelling in 42 yr old man

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This is an online E logbook 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 an available global online community of experts to solve those patients 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 are welcome. June 21, 2023 A 42yr old male resident of chityala electrician by occupation presented to the Opd with chief complaints of  Swelling of the lower limb upto ankle since 5 days. Shortness of breath since 4 days. Numbness and tingling sensation of limbs with associated weakness since 4 days. History of presenting illness : Patient was apparently asymptomatic 3 years back when he developed generalised anasarca sudden in onset and gradually progressive in nature for 5 days, for which he went to a terti

case of knee joint sweeling and pain

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case of an 82-year-old female who presented to the hospital with chief complaints of  - Pain in the lower limbs since 2 days, bilaterally  - Fever since 2 days - Swelling in the lower limb, bilaterally since 2 days  History of Presenting Illness  The patient was apparently asymptomatic 6 months ago.  6 months ago, the patient experienced a pricking type of joint pain while climbing the stairs, it was pricking in nature, and the patient could carry out her daily activities without hindrance.  On 25th May 2023, After waking up at 5 AM, the patient could not lift her legs from the bed.   After three days, the patient developed a sudden onset of pain. The pain was pricking in character, and continuous.  present bilaterally in the lower limbs at and below the level of the knee. It aggravated on walking and relieved at rest.  The pain was associated with swelling of the lower limb at and below the level of the knee joint, bilaterally. It was associated with redness over the limbs up to the a