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Showing posts from January, 2022

75years female with severe metabolic acidosis

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75 year old female patient with hypovolemic shock /(?) cardiogenic shock with type 1 respiratory failure and severe metabolic acidosis. January 13'2022 This is 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 a series of inputs from an 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 in the comment box is welcome. NAME ::  K.Thanmai ROLL.NO. ::  65  BATCH ::  2017 A 75 year old female patient was brought to the casualty with chief complaints of   # FEVER  since 4 days .  # GENERALISED WEAKNESS  since 3 days .  # VOMITING  since 3 days .  # SHORTNESS OF BREATH  since 1 day. History of presenting illness : Patient was apparently asy

70 years old male with Altered sensorium

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12th Jan 2022 This is an online E-log entry blog to discuss and understand the clinical data analysis of a patient, to develop competency in comprehending clinical problems, and providing evidence- based inputs in order to come up with a diagnosis and effective treatment plan to the best of my ability. Name: K. Thanmai reddy Roll.no: 65 Batch : 2017 A 70 year old male patient who is  daily wage labourer by  occupation was brought to the casualty on 6th jan with the chief complaints of altered sensorium since five days. Burning sensation in oral cavity, difficulty in swallowing, shortness of breath and productive cough since 25 days. HISTORY OF PRESENTING ILLNESS: The patient was apparently asymptomatic 20days ago when he went on a sudden alcohol binge for a couple of days following which he developed cough assosciated with sputum (scanty, non foul smelling, non blood tinged) and  Shortness of breath which was initially Class 2( slight limitation of physical activity) but gradually prog