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Showing posts from August, 2020

35 male with sudden onset seizures

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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 is welcome.  Case presentation: 35yr old male, a lorry driver by occupation came with complaints of involuntary movements of bilateral upper and lower limbs @arount 6AM yesterday. Pt was apparently asymptomatic before the attack and was watching tv .suddenly patient collapsed and had involuntary movements of bilateral upper and lower limbs tonic- clonic type lasting for 15min. Associated with uprolling of eyes and involuntary passage of urine. No h/o frothing, tounge bite, dev...

46 yr male with vomiting

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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 is welcome.  Case presentation: 46 yr old male k/c/o DM since 12 yrs and HTN since 8 yrs who is a pastor came  to casualty on 23rd August with complaints of vomiting since 4 days. he was apparently asymptomatic 2yrs back  developed fever and weakness for which he had consulted a local doctor who gave him multivitamin syrup and iron tablets. He developed sweating, giddiness and lost consciousness after using those medications. he was taken to nalgonda hospital where t...

22yr male with pain abdomen and recurrent ascites

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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 is welcome.  Case presentation: A 22 yr old male who works in pharmacy was apparently normal 3months back , consumed toddy continuously for 15days after which,  on May 10th he developed severe pain in the left hypochondric and left lumbar region which was not associated with fever/vomiting.He was taken to local rmp who gave him medications for pain. After a week as the pain was not subsided he went to nalgonda hospital where ct scan was performed. Ct on May 17th--- Serum ...