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80 yr old male with right lung collapse

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This is an online e log book to discuss our patient de-identified health data shared after taking his / her / guardians signed informed consent. Here we discuss our individual patients problems through series of inputs from available global online community of experts with an aim to solve those patients clinical problem with collective current best evident based input. This E blog also reflects my patient centered online learning portfolio and your valuable inputs on the comment box is welcome. I have been given this case to solve in an attempt to understand the topic of " patient clinical data analysis" to develop my competency in reading and comprehending clinical data including history, clinical findings, investigations and come up with diagnosis and treatment plan. 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...

INTERNAL ASSESSMENT

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1Q INFECTIVE ENDOCARDITIS  2Q ARDS

A case of young male with altered sensorium

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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. This is a case of 21 year old male , who left his home at the age of 17 and is living separately and working at a hotel near miryalguda.  He was brought to the hospital in unconscious state after he was found lying on the ground with twisted hand and forearm by his roommates HISTORY OF PRESENTING ILLNESS: He was apparently asymptomatic 7 days back. Then he developed fever days which was high grade (101 degree Fahrenheit), continuous. He went to local hospital , took medication but t...

ASSESSMENT/CLINICAL PROBLEM SOLVING

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This blog is my analysis to a case, as part of CLINICAL PROBLEM SOLVING I would like to give the analysis of the following blog made by Dr Rashmitha ma'am . https://potlapallirashmitha.blogspot.com/2021/12/multiple-myeloma.html I have analysed and interpreted the case into the following headings:  1) Analysis from history, examination, investigations - to rule out the differentials and confirm the diagnosis 2) Understanding the etiopathogenesis of the disease and treatment options 3) Prioritising the problems of the patient and figuring out the best possible options  ( with the help of evidence based clinical trial outcomes)  MY ANALYSIS :  PROBLEMS OF THE PATIENT:   COMPLAINTS :  * chief complaints of fever (on and off),  loss of appetite, headache, body pains *in chronological order :   generalized weakness since 2 months,  cough since 2 weeks   vomitings and pain abdomen since 2 days.     INFORMATION FROM PAS...