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50 yr old male k/c/o CKD on hemodialysis since 5 months

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This is an online e logbook to discuss our patients deidentified health data shared after taking her/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 patients clinical problems with collective current best evidence based inputs This E log also reflects my patient centre’s online learning portfolio and valuable inputs on the comment box is welcome. CASE : A 50yr old male resident of came with complaints of Shortness of breath, decreased urine output, pedal edema since 4 months He was apparently asymptomatic 4 year back then developed generalized edema which is insidious in onset and gradual in progression associated with shortness of breath and went to outside hospital where is diagnosed with kidney disease from then he was on medication 5months back patient had pedal edema, shortness of breath and decreased urine output, burning  for which he went ...
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25year old male with fever and thrombocytopenia

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This is an online e logbook to discuss our patients deidentified health data shared after taking her/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 patients clinical problems with collective current best evidence based inputs This E log also reflects my patient centre’s online learning portfolio and valuable inputs on the comment box is welcome. Case : 25 year old male, resident of nalgonda, came to the OPD with complaints of fever since 2 weeks. Patient was apparently asymptomatic 2 weeks  back then he developed fever, which is on and off, high grade fever, associated with chills and rigors, which subsided on taking medication. After 2 days again he developed fever, for which he went to local hospital there he was diagnosed with typhoid for which he used medication. After 3 days, he had fever, which is low grade fever not associated with chills ...
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20 year female with Fever and thrombocytopenia with NS 1 antigen positive

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This is an online e logbook to discuss our patients deidentified health data shared after taking her/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 patients clinical problems with collective current best evidence based inputs This E log also reflects my patient centre’s online learning portfolio and valuable inputs on the comment box is welcome. Case : A 20 year old female, resident of nalgonda, came to the casualty with the complaints of fever since 5 days. Patient was apparently asymptomatic 5 days back then she developed fever which is on and off, not associated with chills and rigors and which was subsided on taking medication. And there is h/o vomiting (1episode), which is non bilious, non projectile, food as a content. She had h/o melena passage ( black coloured stools) since 2days. No h/o other bleeding manifestations, bleeding gums, hemat...
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70yr old male presented with altered sensorium

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This is an online e logbook to discuss our patients deidentified health data shared after taking her/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 patients clinical problems with collective current best evidence based inputs This E log also reflects my patient centre’s online learning portfolio and valuable inputs on the comment box is welcome Case : A 70 year old male, farmer by occupation, have 3 children, resident of, presented to casualty in comatose state with GCS 4/15 Patient was apparently alright 10days back, when he complained of vision loss and headache. Patient previously was having blurring of vision, but 10 days back he complained sudden loss of vision and headache, so they when to a local hospital and got evaluated. There a CT BRAIN was done, which was normal according to the patient attenders ( reports unavailable ) Patient contin...
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65yr old presented with altered sensorium

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This is an online e logbook to discuss our patients deidentified health data shared after taking her/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 patients clinical problems with collective current best evidence based inputs This E log also reflects my patient centre’s online learning portfolio and valuable inputs on the comment box is welcome. CASE : A 65 yr old male, farmer by occupation and having 4 sons and 1 daughter, resident of nalgonda visited casualty with C/o fever since 1 week, Altered sensorium since yesterday and also has c/o 1 episode of vomiting today morning Patient was apparently asymptomatic 1 week ago then he developed fever which is high grade, intermittent and associated with chills for which he went to local RMP and used medications but symptoms didn't subside. Patient had h/o cough since 1 week associated with scant...
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75 year old with altered sensorium and adjustment disorder with AKI

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This is an online e logbook to discuss our patients deidentified health data shared after taking her/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 patients clinical problems with collective current best evidence based inputs This E log also reflects my patient centre’s online learning portfolio and valuable inputs on the comment box is welcome. CASE : 75yrs old elderly man resident of Gorankapalli (Nalgonda dist) presented to our MOPD with the complaints of Unable to get up from the bed since 3 days, Difficulty in lifting head off from the pillows since 3 days, Cough since 10 days, Fever 10 days back  Patient was apparently asymptomatic 3 years back 3 years back - He experienced a trauma to his head following slippage of his foot. A CT Brain was done which was normal. 1 year back - he got operated for inguinal hernia On the 7th of this mo...
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20 yr old female with NS 1 antigen positive

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This is an online e logbook to discuss our patients deidentified health data shared after taking her/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 patients clinical problems with collective current best evidence based inputs This E log also reflects my patient centre’s online learning portfolio and valuable inputs on the comment box is welcome. CASE : A 20year old female, student, came to casualty with complaint of fever since 5 days and vomitings since 5 days Patient was apparently asymptomatic 5days back, then complainted of fever which was insidious in onset, continuous type with no diurnal variations and associated with vomiting 2-3 episodes per day, non bilious with food particles as content, non projectile. Patient also has generalized weakness and complaint of abdominal discomfort in epigastric region and left hypochondrium since 5days....
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