Prefinal examination

















 

Comments

Post a Comment

Popular posts from this blog

N. Geetha. 54

Image
January 17 2022 58 year old male, labourer by occupation, came to the OPD with the chief complaints of Shortness of breath since 30 days, worsened 1 day back, chest pain since 30 days ,facial puffiness since 30 days History of Presenting illness -  Patient was apparently asymptomatic 4 years ago 4 years ago - pt complained of giddiness, went to a local hospital and was diagnosed as Hypertensive, on regular medication since then T. Nicardia 10mg, T. Arkamine 0.1mg sos 2 years back Pt developed B/L pedal edema, progressed gradually to knees, diagnosed with renal failure and initiated dialysis weekly twice Left upper limb swelling, gradually progressing to current size, since 4 months . Also developed rt upper limb swelling since 4 days.  Swelling in the left chest region, gradually progressing to current size, since 4 months Back pain since 2 months, subsided on medication (T. Ultracet) 30 days back - developed Shortness of breath , Grade II-III progressed to Grade IV since 30 d...
Read more

Geetha 54.

Image
 11 march 2022 Chief complaint 40 years old male who is a fruit vendor was brought to the OPD generalised weakness and fever since 2 days back excessive sleepiness since 2 days Past history He was apparently asymptomatic till 5 years Since 5 years patient started drinking after he had financial problems He was brought to the hospital in the view of Re-addicted centre previously and was admitted for 40 days and was discharged After started drinking again after few days intermittently He was alcoholic since 6 years and he last drunk 4days ago before he get admitted in the hospital Vitals  Bp-120/70 mm hg PR -125bpm GRDS-154mg/dl SpO2 -97% on RA Temp-100. 8°F Investigations Liver -16. 5cm increased in size Spleen - 13.2 cm increased in size 1) Grade III Fatty liver with mild hepatomegaly with mild caudate lobe hypertrophy Early liver parenchymal disease 2) mild Splenomegaly Provisional diagnosis DECOMPENSATED   LIVER DISEASE ALCOHOL DEPENDENCE SYNDROME Patient was drows...
Read more
Image
December 3 2022 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 •  chief complaint:-   C/o pain in abdomen since 1day  • History of present illness:- Patient is apparently asymptomatic 15yrs back then he developed left side pain(Renal calculi) for which PCNL surgery was done 4 months back pt developed yellowish discoloration of eyes and pain abdomen for which he admitted in hospital and managed conservatively  Now since 1day patient c/o pain in abdomen in right hypochondrium region,non radiating insidious onset not associa...
Read more