satish

  August 23, 2022   This is an E log book to discuss our patient's de-identified health data shared after taking his guardian's signed informed consent. Here we discuss our individual patient 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 comments in comment box are most welcomed  I have been given this case to solve in an attempt to understand the topic of  "Patient clinical data analysis"  to develop my competency i reading and comprehending clinical data including history, clinical findings, investigations and come up with a diagnosis and treatment plan A 55 yr old female came to the casualty with chief complaints of  1) loss of consciousness since 30 min associated with palpatation and sweating  HOPI  she was ...

  -   August 26, 2022   MEDICAL CASE This is an E log book to discuss our patient's de-identified health data shared after taking his guardian's signed informed consent. Here we discuss our individual patient 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 comments in comment box are most welcomed  I have been given this case to solve in an attempt to understand the topic of  "Patient clinical data analysis"  to develop my competency i reading and comprehending clinical data including history, clinical findings, investigations and come up with a diagnosis and treatment plan.   CASE DISCUSSION: A 60year old male came with complaints of  Involuntary movement of B/L upper limbs and lower limbs while driving at late ni...

  September 20, 2021 *ICU Admission under unit-6*  Under the guidance of DR.VAISHNAVI MAM AND DR.MANASA MAM  45 yr old Male came to casuality with chief complaints of Fever since 2 days in Drowsy state.. Fever  - High grade, intermittent, associated with chills HOPI+ pt was apparently asymptomatic 6 days ago, later he developed vomitings-1  to 5 episodes/day, non bilious, non projectile, non blood tinged for which he went to a govt hospital & got treated...  Prior to vomitings pt had intake of  alcohol  (360ml) 2 days after he had  involuntary movements  of both upper & tower Limbs (? Generalized tonic clonic seizures) - 1episode, which is associated with froathing, tongue bite.. pt was  unconscious  during this episode. He was taken to a private hospital & managed conservatively 2 days back patient was conscious & coherent, talking  but he is in  drowsy state. Patient stopped working since 1 year (due...

  A 14 yr old male came to the opd with complaints of  swelling in the left side of the abdomen since the past 15 days along with cold and cough since the past 10 days. HOPI: He is a 4th order child ,born out of grade 4 consanguinous marriage  He has 2 elder brothers and one elder sister - who expired at 5 years of age . His sister was the first child and she was assymoptomatic till 2 years of age ,then she had shortness of breath and was rushed to hospital,where here condition detiorated and got admitted .They were told that she had splenomegaly and Her blood counts were decreasing .She was given multiple blood transfusions every 25 days for one year inspite of that she remained anemic ,she also underwent bone marrow biopsy twice . According to parents she was given steriods also for one year before death .she never had jaundice or recurrent infections.  .Elder brother is 19 year old and second brother is -16 years old . Second one had history of fever ,white colour...