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Showing posts from June, 2023

55 year old male patient with recurrent CVA,HTN,since 3 years

  General medicine M.Devisree gupta Roll no 81 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 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 book also reflects my patient centered online learning portfolio and your valuable inputs on comment box is welcome.  Chief complaints Patient was brought to the casualty with complaints of inability to speak since 6 hrs, weakness in right upper and lower limb since 6 hrs and deviation of angle of mouth to left since 6hrs. HOPI : Patient was apparently asymptomatic 6hrs back ,then he developed inability to speak since 6 hrs, weakness in right upper and lower limb since 6 hrs and deviation of angle of mouth to left since 6hrs. No h/o fever, seizures Past

A 40 year old female with shock and hypothyroid since 10 years

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 General medicine M.Devisree gupta Roll no 81  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 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 book also reflects my patient centered online learning portfolio and your valuable inputs on comment box is welcome.  Chief complaints  40yr female with to casuality with complaints of high grade fever since 5-6 days C/o vomitings since yesterday C/i loose stools since today . History of presenting illness Pt was apparently asymptomatic 5-6 days then she developed fever , sudden high grade not a/w chills and rigors , intermittent, releived temporarily on medication. C/i vomiting since yesterday h/o 3-4 episodes , content good particles ,non bilious , n

45 year old male patient with left hemiplegia

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 June 3 2023 General medicine M.Devisree gupta Roll no 81  Case of hemiplegia This is an online e log book to discuss our patient de-identified health data shared after taking his/her/guardians signed informed consent. This Elog reflects my patient centered online learning portfolio. A 45 years old male Patient came to the casuality with complaints of deviation of mouth to right side since 27/5/23 night(after taking alcohol),weakness of left upper limb and lower limb since morning (28/5/23). History of presenting illness: Patient was apparently asymptomatic till 27/5/23 night ,then he developed deviation of mouth towards right side and on 28/5/23 morning had difficulty in walking due to which they visited a local hospital and was treated conservatively but symptoms did not subside and weakness progresses . No h/o drooling of saliva. -No h/o of loss of consciousness, nystagmus . -No h/o of head trauma . -h/o of low grade fever since 2days not associated with cough ,headache , vomitings.