66.Sai.Aishwarya

  60 year old male patient , who works as a daily wage worker hailing from Palem presented to the hospital with- • reduced micturition and defecation since 2 months. • burning sensation on micturition since 2 months. HISTORY OF PRESENT ILLNESS • Patient was apparently asymptomatic 2 month  back. • The patient is a retired coolie who does work in the day. • He wakes up at 6am, roams around his village,  and he take rest at around 10pm. • 2 weeks after Dusshera (2 months back), patient suffered with a dizziness and cough which he attributes to "cold". • Patient was taken to an ENT specialist who ruled him clear of any problem. • The same day, the patient noticed an acute decrease in his defecation and micturition. • When patient was taken to the hospital in Nakrekal where he was diagnosed with Renal failure.  • He was put on Maintainance Hemodialysis since then. • Patient recollects that after 5 days of dialysis, patient's micturition and defecation was somewhat restor...

 CHIEF COMPLAINT : A 33 yr old female Patient is presented to the opd with a compliments of fever, vomiting, and loos stools with pains in joint(Arthraliga) Pt. has an abscess over left thigh  Pt.was apparentaly asymptomatic 2 months back  HISTORY OF PRESENT ILLNESS: -Joint pains  -High grade fever  HISTORY  OF PAST ILLNESS: -pt . took self medication for fever  -2 months back pt.took vaccination and had fever, joint pains  for which the Patient went to rheumatologist in month of October TREATMENT HISTORY: Diabetes-No Hypertension-No Asthma-No T.B- No Blood transfusion-No PERSONAL HISTORY: Appetite - Lost  Diet- Mixed  Bowel- Regular  Mictiration - Normal NO ADDICTIONS  FAMILY HISTORY: Pt. Mother is a Known case of Diabetes and Hypertension for past 10 years  PHYSICAL EXAMINATION : A.GENERAL Pallor - Mild  Cyanosis - No Lymphadenopathy- No Malnutrition-No  Dehydration- Mild  Icterus- No Clubbing of fingers -...

  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. A 15 years old male patient studying 9th class came to casuality with complaints of shortness of breath since 4 hours associated with acute chest pain since 4 hours. History of present illness: Patient was apparently asymptomatic 1 month back , patient complains of vomitings 2 to 3 episodes daily associated with food particles and not associated with blood. Patient gives history of fever 1 month back associated with chills which is relieved by using medication for 2 days. Incidentally he diagnosed raised urea 63 mg / dl and raised creatinine 8.3 mg/dl  went to Hyderabad with in one day urea has raised to 135 m...

 1.Antomical and etiology localization for hemiparesis and further management  2.Etiological pathogenesis, clinical features, management, complications of acute pancraetitis 3.Dengue fever ,clinical features and complications 4.Cushing syndrome  5.Mandibular advancement devices  6.Cardiogenic pulmonary edema  7.Rheumatoid arthritis  8. Leptospirosis   9.Heart failure    10.Ascities 11. Pyrexia of unknown origin 12.Drug induced liver injury  13.Evaluation of lower back  14.Renal artery stenosis  15.Actue kidney injury  16.Oral hypoglycemia drugs  17.Micro vascular  and macro vascular complications in diabetes  18.Lights criteria 19.Metabolic acidosis  20.Iron deficiency of anemia 

 Chief complaint:  A 45 yr old male from nalgonda was presented to opd with complaints of fever,vomiting and an episode of seziure History of present illness: Patient apprantely complaints of fever and chills History of past illness: Patient stopped working because of generalized weakness Personal history: Appetite-Normal Diet- mixed  Bowles- normal Micturaition-normal Habits- alcohol(weekly twice) Family history: No history of diabetes  No history of hypertension  No history of heart diseases  No history of cancer  No history  of TB Drug history: Patient is not allergic to any Known drug  Systemic examination  CVS: No Thrills  S1 S2 sounds heard  No cardiac murmurs  Respiratory system  Central portion of trachea  No dysponea  No wheezing  CNS: Level of consciousness-drowsy Speech -slurred Provisional diagnosis Altered sensorium 2° to hyponatremia/alcohol with drawal Investigations  CBP Serum Elect...