77 N Hancy Theona

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 A 45 year old woman, laborer by occupation, resident of Nalgonda came to medicine OPD with chief complaints of Difficulty in breathing since 2 hours Generalized edema since 3 months History of Present Illness- The patient was apparently asymptomatic 3 months ago, then she suddenly noticed edema of the feet. She continued to go to work and observed that her swelling has progressed to upper limbs and abdomen and face, Edema was sudden in onset and rapidly progressive associated with pain, started with edema The pain was dragging type, insidious in onset and was throughout the day. Aggravated on movement and supin

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 A 28 year old married woman, farmer by occupation, resident of kunjbihar came to medicine OPD with chief complaints of Pain and weakness in upper and lower limbs since 8 years History of Present Illness- The patient was apparently asymptomatic 8 years ago, then had a sprain with sharp pain in the right hip region while drawing water from well. It was sudden in onset and dragging type of pain. Radiating towards  lower back and slowly spread to right upper limb amd lower limb. Pain aggravated on movement i.e., after work in the nights and relieved on medication, massage and rest.  In the last 3 years, weakness h

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 A 36 year old woman, farmer by occupation, resident of Tirumalagiri came to medicine OPD with  chief complaints of Pain abdomen since 1 month Blood in vomiting 1 episode 1 day ago History of Present illness- The patient was apparently asymptomatic 1 month ago and then she developed, pain in the epigastric region, which is of squeezing type, aggravated on consumption of spicy, sour and non-vegetarian foods, sometimes relieved after an episode of vomiting. It is non radiating and no migration of pain. There’s is no positional variation. She had had over 10 episodes of vomiting, in the last 1 month which is non pr

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 A 73 year old man, who is a retired bank manager, resident of chityala came to the medicine OPD with  chief complaints of Fever since 3 days General weakness since 3 days Difficulty in breathing since 2 days Loss of appetite since 2 days History of present illness- The patient was apparently asymptomatic 3 days ago, he then developed low grade fever, no diurnal variation, relieved with medication, not associated with chills and rigor. Generalised weakness from 3 days. Shortness of breath since 2days which is insidious in onset and gradually progressive. No h/o vomiting, loose stools, constipation, pain abdomen,

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 A 42year of married male, carpenter by occupation, resident of miryalaguda came to medicine OP with Chief complaints pain abdomen since 5days Vomiting since 1day History of present illness - The patient started experiencing pricking pain in the epigastrium since 5days, because of which he had decreased appetite He had the same symptoms 1year back for which he was told it was a pancreas related issue and got treated  No relieving or aggravating factor No radiation. He had 2episodes of vomiting on the presenting day which was watery, non projectile No fever,headache,shortness of breath, burning micturiton and con

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  A 35 year old married man, working as a tractor driver, resident of Bhongir came to medicine OPD with  Chief complaints of increase in size of the discolouration of skin since 8 months History of Present Illness- The patient was apparently asymptomatic 8 months ago and suddenly noticed heat rashes over the nose area. It was not itchy. The rash persisted for 15 days. The skin started peeling off of the rashes with skin hypopigmentation and mild pain. After 10 days, he decided to consider herbal medicine and took it for 15 days which was not of any help. The patches kept spreading to his chest, upper limb and l