stimitamaity

35  years old male with noisy breathing 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."                                          " I’ve 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 " Unit posting (Intern 2...

Patient came for regular hemodialysis. HOW WAS HE DIAGNOSED? 1 year ago, on 18th December,2022 patient had complaints of high grade fever and body pains and went to some hospital in Hanunakonda. All routine investigations were done there(reports are not available) and was diagnosed with Chronic kindney disease. He was advised for regular hemodialysis. Dialysis was being done. PRESENT HISTORY 15 days ago, Patient was feeling weak and unresponsive. His family members took him to nearby local hospital. They were said that he had low sugar level. And he was treated with IV fluids ( ? Unknown) 2 months ago, C/O SOB, insidious in onset and gradually progressive and decreased urine output. He was advised for dialysis and dialysis was done. Since then he is on regular dialysis. PAST HISTORY He is a k/c/o HTN since 2 years and DM since 3 years and on regular medication. PERSONAL HISTORY Appetite -normal Sleep-adequate Bowel and bladder - regular No addictions No known allergies GENERAL EXAMINAT...

65 years old female with SOB and altered sensorium Dr.Pavan Dr.Navya Dr.Stimita CHIEF COMPLAINTS Patient came to casualty around 7:40 PM with C/O SOB(difficulty in breathing) since 10 days, Fever since 10 days and altered sensorium since 2 days. HISTORY OF PRESENT ILLNESS Patient was apparently asymptomatic 10 days ago, then she developed   SOB which was grade 1 initially, then gradually progressed to grade 4 Fever since 10 days, low grade, gradually progressive Orthopnea+ Altered sensorium since 10 days. PAST HISTORY  Not a k/c/o CAD,CVA,Epilepy K/c/o HTN,DM 2 since 10 days  GCS-E2V2M3 VITALS PR 90 bpm RR 38 cpm BP 90/60 mm of hg SPO2 77@RA Investigation ABG showed metabolic acidosis with ph 7.03,HCO3 9.1 Sr. Urea 253mg/dl Sr. Creatinine 8.1 Serology - negative WHAT WE DID WE DO? Inj. Sodium Bicarbonate 50meq in 100 ml NS IV STAT SLOWLY BUT,patient's saturation was falling. Patient was intubated I/V/O low GCS and falling saturation.The moment we  intubated,secr...

22 years old female with  previous history of  transverse myelitis with acute  urinary retention  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."                                          " I’ve 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, investi...

FROM A GENERAL MEDICINE INTERN   5 DAYS OF WARD DUTY   Have taken venous samples Have inserted IV cannula Setting up of IV drip Learnt Thorough examination of CNS,CVS,RESPIRATORY SYSTEM,ABDOMEN from PGs(Dr. Lohith Varna,Dr. Prachetan) And tried to explain all examinations (whatever I have learnt) to the UGs. Vitals monitoring      CNS EXAMINATION ON PATIENT TEACHING AND LEARNING  SHOWING UGS HOW TO CHECK VITALS QUICKLY  5 DAYS OF NEPHROLOGY DUTY I was posted in CKD ward, dialysis ward and casualty as well. In dialysis ward - Saw plenty of CKD  patients who come for dialysis 2-3 times every week. Thorough monitoring of patients during Dialysis,Looking after the complications (chills,sudden raise of BP, fever) and managing accordingly(Under Dr. Navya,PGY1  And Dr. Pavan,PGY2) Learning points- 1.Causes of death during dialysis- .Commonly due to hypotension -how can we prevent ?  Just by monitoring vit...