Gnana prasanna

  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 CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE BASED INPUT  DECEMBER 2 2021  60 YEARS OLD MALE WITH CKD ON MHD WITH K/C/O HTN - CASE HISTORY A 60 YEAR OLD MALE , FARMER BY OCCUPATION ,CAME TO THE OPD WITH  CHEIF COMPLAINTS OF - PEDAL EDEMA SINCE 6 MONTHS   SHOTNESS OF BREATH SINCE 6 MONTHS  DECRESED URINE OUTPUT SINCE 6 MONTHS  HISTORY OF PRESENTING ILLNESS - PATIENT WAS APPARENTLY ASYMPTOMATIC 6 MONTHS BACK THEN DEVELOPED PEDAL EDEMA ,WHICH WAS GRADUALLY PROGRESSIVE ,A/W DECREASED URINE OUT PUT AND A/W SOB AND THEN CAME TO KIMS FOR FURTHER EVALUATION NO C/O OF CHEST PAIN ,PALPITATION ,GIDDINESS ,FEVER , COLD ,COUGH ,BURNING MICTURATION...

  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 CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE BASED INPUT  DECEMBER 2 2021  28 YEARS OLD MALE WITH URAEMIC SEIZURES  CKD ON MHD WITH K/C/O HTN - case history a 28 year old male , sales man in clothing store by occupation ,came to the opd with  cheif complaints of - presented to casualty with h/o seizures since yesterday night h/o seizures 3 episodes around 3 am,7am,11am each episode lasting for 3 -5 minutes associated with unrolling of eyeballs +,frothing from mouth+,no tongue bite -, no involuntary micturation-,no involuntary defecation-,no ictal cry -,followed by post ictal confusion lasting for 15 - 20 minutes  history of presenting illness - pati...

 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 CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE BASED INPUT   36 YEARS OLD MALE WITH acute pancreatitis with alcohol dependence - CASE HISTORY A  36 YEAR OLD MALE , driver BY OCCUPATION ,CAME TO THE casualty WITH  The case was driver in police department under rajakonda commistrate he worked as driver to asst commissioner of law and order division he used to work 24 hour shifts followed by of day of 24 hour period while on duty days he didn't used to drink  He previously had 2 episode of accident in past after drinking episode  1 st episode 10 years back after he drink at friend wedding while returning to home tossed of from bike over speed breaker...

  CASE OF 32 /M WITH ACUTE PANCREATITIS SECONDARY TO ALCOHOLISM UNDER EVALUATION 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. This E blog also reflects my patient centered online learning portfolio and your valuable inputs on the comment box is welcome. I have been given this case to solve in an attempt to understand the topic of  " patient clinical data analysis" to develop my competency in reading and comprehending clinical data including history, clinical findings, investigations and come up with diagnosis and treatment plan. 15 /9/2021 32   Year Old patient   lorry driver  by   occupation   came   to casualty   with c...