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Showing posts from June, 2021

Medicine case discussion

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38 year old female came to casualty with complaints of giddiness since 2 days and headache since 2 days.  HISTORY OF PRESENT ILLNESS Patient was apparently asymptomatic 1 year back, then she developed giddiness which is on and off and not associated with palpitations, shortness of breath, blackouts, chestpain, sweating, blurring of vision, decreased urine output. 6 months back, she had sudden onset of giddiness followed by fall  with fracture of nasal bone. ENT opinion was taken and on conservative management. She complaints of headache since 6 months which is on and off and holocranial not associated with nausea and vomitings.  She had history of trauma 2 years back for that she went for checkup and diagnosed as DM type 2. Patient had history of pedal edema 1 year back and said to have? Renal problem.  No history of tingling and numbness of foot.  HISTORY OF PAST ILLNESS Known case of diabetes since 2 years No h/o HTN, Bronchial asthma, Tuberculosis. TREATMENT HISTORY On medication fo

Medicine case discussion

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This is online E-blog, to discuss our patient de-identified health data shared after taking her guardian's signed informed consent. Here we discuss our individual patient problems through series of inputs from  available global online community of experts with an aim to solve the patients clinical problem with current best evidence based input. This E-blog also reflects my patient's centred online learning portfolio. 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 a diagnosis and treatment plan. CASE 80 year old male came to the opd on 15/6/2021 with chief complaints of Burning micturition since 4 months Increase in frequency of urination since 4 months Thin streaming of urine since 3 months HISTORY OF PRESENT ILLNESS Patient was apparently asymptomatic 4 months back, th