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A 28 year old young man with blood in stools, SOB, fever and cough

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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 28 year old young man, a post graduate and resident of miryalaguda came to OPD with chief complaint of- Blood in stools since 1½ yrs  Fever and cough since a week, Shortness of breath on exertion since 6 months History of present illness - Patient was asymptomatic 1½yr ago and then he noticed blood in stools monthly once or twice. He had fever associated with dry cough since a week. Fever subsided on medication and recurred later. He went to a local hospital and was found to have low hemoglobin concentration and they suggested him colonscopy. He came here for colonoscopy( gastroenterologis...

A 60 year old woman with loss of appetite vomiting and fever

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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 60 year old woman from nalgonda, who is a housewife came to OPD with the chief complaint of- Decreased appetite since 3 days Vomiting(whatever she consumed) since 2 days Fever since 6 days Shortness of breath since 3 days History of present illness - She has been complaining with decreased appetite, vomiting and fever since 6 months which increased during nights and lasts for 6-8 days and relieved on medication. She has been previously admitted here 6-8 months ago with a complaint of fever and discharged after attaining normal temperature on medication. Past illness - She was also diagnosed ...

A 56 year old woman with ascites

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A 56 year old woman from narketpally, who is a housewife came to OPD with the chief complaint of distension of abdomen associated with pain since 10 days History of present illness - Patient was asymptomatic 10 years ago. She then visited hospital for a routine check up and was diagnosed with hypothyroidism, Hypertension and Diabetes. She was on hypothyroidism medication for 2 years before she was told the levels were back to normal. But she was diagnosed with the same(hypothyroidism) 3 yrs later for which she is under the same medication Tab. Thyronorm 50mg oral BD She was on Hypertension and Diabetes  medication for 2 years and stopped. She resumed the medication 3 years later. Tab. Telma 40mg oral BD Tab. Metformin 500mg oral BD She developed shortness of breath and cough since 6 years. She was on medication for a year and stopped. She was diagnosed with asthma 1 year later for which she is on medication. 10 days ago she came to OPD with abdomen distension for which she was give...