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1801006057- SHORT CASE

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 This is an online E log to discuss our patients 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 evidence based inputs. This E log book also reflects my patients-centered  online learning portfolio and your valuable inputs on the comment box is welcome. 65 yr old male from Nalgonda farmer by occupation came to the hospital for maintenance dialysis  HISTORY OF PRESENTING ILLNESS Patient was apparently asymptomatic 20 years back then he noticed yellowish discolouration over sclera and urine and decreased urine output then he went to a hospital.Investigations are done and  diagnosed as Jaundice. At the same time he also diagnosed as right kidney damage. so that 3 episodes of dialysis was done in a week. For the next 10 years he...
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55/M Pyrexia under evaluation with cervical laminectomy 2 months back

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 Chief complaints:   Patient came with cheif complaints of burning type of sensation of whole body since 1 week. Fever since 1 day HOPI:  Patient was apparently asymptomatic 2 months back after which he had an RTA during which he had cervical cord stenosis and was operated with cervical cord laminectomy i/v/o weakness of both upper and lower limbs. After which patient was on physiotherapy and power improved gradually.Now patient had h/o burning sensation and numbness of whole body( paresthesia). He also have complaints of fever since today afternoon associated with chills , relieved on medication. H/o of  burning micturition since 4-5 days  No H/o decreased sensations No h/o bowel and bladder incontinence. No h/o seizure activity No H/O cold, cough, sore throat No H/o nausea , vomiting, pain abdomen No H/o loose stools PAST HISTORY: Not a k/c/o dmII, htn, thyroid disorders,asthma,epilepsy GENERAL EXAMINATION: Patient is conscious, coherent No pallor, icterus, cy...
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30yr Old Male with Alcoholic Gastritis

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QA 30 yr old Male patient came with chief complaints vomiting with clots and abdominal pain. HOPI: Patient was asymptomatic 2 years back.Then he developed abdominal pain in the epigastric region which is Stabbing type when he consumes more amount of alcohol and on eating spicy food. He also had 1 to 2 episodes of vomitings along with pain which were clear and yellowish.  He came to KIMS about 6 times since 2 yrs for the above complaints and has been treated for it and was advised to stop consuming alcohol. 3 months back: He had a mild blood clots in vomiting. On 31/1/22  : He again had blood clots in his vomiting about 7 to 8 episodes .And single episode of vomiting which was greenish in colour with severe epigastric pain which was stabbing type  and burning sensation in throat.  Then he came to KIMS on 31/1/22. * Symptoms aggravated on taking spicy food. No history of fever , burning micturition, diarrhoea, blood in stool, Body pains. PAST HISTORY No history of hype...
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