Posts

80 year old male with right lung collapse

Image
A 80 year old male patient was brought to casualty(i.e 4/10/2022) Chief complaints: Shortness of breath since 4days Fever since 4days Cough since 3days Loose stools 2days History of present illness: Patient was apparently symptomatic 1 month back then he developed anuria for which he was admitted in a hospital for a day foleys was placed and medication was given for 10 days ,then patient developed shortness of breath four days back which was insidious in onset gradually progressed from grade 2 to grade 4 (mmrc),no postural variation ,no history of suggestive of paroxysmal nocturnal dyspnoea, chest pain ,associated with cold and cough ,cough was productive, sputum mucoid,whitish,copious and not blood tinged and has a history of fever which was intermittent ,on and off ,no diurnal variation and associated with loose stools and burning micturition ,loose stools since two days 3 to 4 episodes per day ,non-bulky not associated with pain abdomen ,non-bloodstained . This developed after drink...

36 YEAR OLD MALE PATIENT WITH YELLOWISH DISCOLORATION OF EYES AND URINE

Image
  This is case of 36 year old male who is a master cook by occupation came to opd with complaints of yellowish discoloration of eyes and urine since 3 months   HOPI: patient was apparently normal 1 year back ,then he developed lower back ache ,diagnosed with renal calculi and was operated.  C/o fever since 3 months          Insidious in onset          Gradually progressive          Subsides on its own          More during nights C/o nausea since 3 months C/o vomitings ( 4 -5 episodes) food particles as content C/o pain abdomen intermittently and was admitted in an hospital thrice till now and diagnosed with chronic pancreatitis H/o weight loss since 1month H/o usage of Herbal medicine 1 month back ,6 times/day for a week H/o pedal edema and abdominal distension 1 month back , used medication for this in Nalgonda  PAST HISTOR...

Alcohol induced oesophagitis

Image
  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 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 comment box is welcome 35 year old male patient came to causality with  the chief complaints of vomitings 3days back (10episodes), associated with blood HISTORY OF PRESENTING ILLNESS:-  Patient was apparently asymptomatic 3days back then he developed vomiting (10episodes) associated with blood,h/o alcohol consumption 3dyas back no history of bleeding per rectum,  no history of abdominal  distension,  no history of pedal edema. Past History:Not a known case of DM,HTN,TB,Asthma,CVA,CAD,E...