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Showing posts from August, 2022

A 46 year old woman with fever and vomiting

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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 a series of inputs from the available global online community of experts intending to solve those patients' clinical problems with collective current best evidence-based inputs Chief complaint- A 46 year old woman, residing in narketpally presented to OPD with the chief complaints of fever and vomiting. History of present illness- The patient was apparently asymptomatic 5 days ago but then developed fever with no diurnal variations. She also complained of vomiting, decreased appetite and weakness since past 5 days. Past illness- No history of HTN, Diabetes, Asthma. White patches seen on bilateral forearm, right hand and around mouth since 2 years. Personal History- Married. Diet:  vegetarian Appetite: normal Sleep: adequate   Bowel and b

A 55 year old woman presented with loss of consciousness

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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 a series of inputs from the available global online community of experts intending to solve those patients' clinical problems with collective current best evidence-based inputs CHIEF COMPLAINTS : A 55 year old woman presented with sudden loss of consciousness for 30 minutes. She had no knowledge about this until her family members told she fainted and they noticed her sweating profusely. HISTORY OF PRESENT ILLNESS: She had a previous episode of loss of consciousness few days back for which she visisted a nearby hospital. They told her that she was weak and asked her to eat well and she was also diagnosed with hypertension but didn't take any medication. PAST HISTORY : Known case of diabetes since 2 years & hypertension since 20 days. No history of TB, Epilepsy, Asthma, CAD. Sh

A 17 year old student with fever, chills and pain abdomen

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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 a series of inputs from the available global online community of experts intending to solve those patients' clinical problems with collective current best evidence-based inputs Chief complaint- A 17 year old student, a resident of ogode presented with chief complaints of fever with chills and pain abdomen History of present illness- The patient was apparently asymptomatic 4 days and developed fever with chills, during evenings and pain abdomen since 4 days. He visited a RMP doctor who prescribed him Paracetamol and gave him an injection. His fever was relieved on medication but he developed severe pain abdomen the next day. He visited a local hospital(nekrekal) where he was diagnosed with dengue and decreased platelet count He eventually came to KIMS as they had health card of KIMS an

A 50 year old woman with fever, pain in her thighs and knee joints

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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 a series of inputs from the available global online community of experts intending to solve those patients' clinical problems with collective current best evidence-based inputs Chief complaint- A 50 year old woman, resident of thaalakunta, a labour worker presented to OPD with chief complaints of fever, pain in her thighs, knee joints, chills and swelling in legs History of present illness- The patient was apparently asymptomatic 3 years ago but started experiencing pain in her knee joints  She went to the local hospital where she received medication to relieve her pain She then started having fever associated with chills only during the nights after long working hours since 15 days for which she took DOLO  She also had pain in her thighs and knee joints since 15 days Her legs were sw