Charitha

This is an online e-log book to discuss our patient's de-identified health data shared after taking his/her/guardian's 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 patient's clinical problems with collective current best evidence based inputs.  DOA:- 15/12/2021   A 57 year old female patient presented to the OPD with chief complaints of decreased urinary output since 3 days , with bilateral pedal edema since 3 days and shortness of breath grade II-III since one day and fever not associated with chills and rigors  HISTORY OF PRESENT ILLNESS  Patient was apparently asymptomatic 3 years back then she had low back pain which was radiating to groin. Then she went to local hospital diagnosed as renal caliculi and kidney dysfunction on investigation. From then she was on medication. Decreased urine output since 3days  Shortness of breath with gra...

  This is an online e-log book to discuss our patient's de-identified health data shared after taking his/her/guardian's 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 patient's clinical problems with collective current best evidence based inputs.  A 35year old male patient presented to the opd with fever and dizziness since 3 days.  Daily routine Patient is barber by occupatin. He wakes up at 6:00am in the morning, after his daily activity . He goes to the barber shop and runs it for 2-3 hrs. Then he drink alcohol. In afternoon after taking lunch he sleeps for sometime. In the evening he again goes to barber shop. In the night he again consumes alcohol. Comes back home and takes dinner and sleep.  History of present illness Patient was apparently asymptomatic 3 days back. Then he developed fever which was decreasing on taking anti pyretics....

  This is an online e-log book to discuss our patient's de-identified health data shared after taking his/her/guardian's 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 patient's clinical problems with collective current best evidence based inputs.  A 36 year old male who is plumber by occupation came to the OPD complaining about  - Yellowish discoloration of his eyes since 1 month - Reddish discoloration of urine since 1 month HISTORY OF PRESENT ILLNESS: Normal routine of the patient: He used to get up at 6.30/7 in the morning, used to have tea and passed the time until afternoon talking to his friends then used to have lunch at 1 PM which is rice.He used to return home by 6 in the evening then he used to freshen up and drink alcohol (150-200ml per day) and used to have dinner at 9 PM and sleep after that. The Patient was apparently asymptomatic 1 m...

 This is online elog book to discuss for patients deidentified health data shared after taking her/guardians 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 those patients clinical problems with collective current best evidence based inputs.  A 52 years old male patient presented to the opd with chief complaint of swelling of the body parts with fever and vomitings. Case: A 55 year old male patient farmer by occupation with bilateral pedal edema and high fever(associated with chills)  since 12 days. Date of admission:20/09/2021 History of present illness Patient was apparently asymptomatic 12 days before the standing illness.Then the patient was presented to the Casualty with bilateral pedal edema and high fever since 12 days. Patient had pre-renal AKI on CKD secondary to sepsis ( Acute gastroenteritis) with history of surgery to right forearm 2 years ba...

 This is online elog book to discuss for patients deidentified health data shared after taking her/guardians 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 those patients clinical problems with collective current best evidence based inputs.  A 52 years old male patient presented to the opd with chief complaint of swelling of the body parts with fever and vomitings. HISTORY OF PRESENT ILLNESS Patient was apparently asymptomatic 4 years ago, then developed swelling of body parts fever and vomitings.  4 years ago patient had recurrent fever for which he visited the hospital, where he diagnosed as acute kidney injury. Later presented to KIMS for further evaluation.  The patient had decreased urine output, swelling in the abdomen and pedal edema. PAST HISTORY Patient is a K/C/O hypothyroidism since 10 years. Patient had a known history of NSAID's use 7 ...

    This is online elog book to discuss for patients deidentified health data shared after taking her/guardians 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 those patients clinical problems with collective current best evidence based inputs.  A 50 years old male patient presented to the opd with chief complaint of swelling of lower limbs, decreased urine output and shortness of breath since 1 year.  HISTORY OF PRESENT ILLNESS Patient was apparently asymptomatic 1year ago, then developed pedal edema and shortness of breath.  1 year ago patient had recurrent fever for which he visited the hospital, where he diagnosed as chronic kidney failure and undergone hemodialysis 3 times. Later presented to KIMS for further evaluation.  The patient had low grade fever and neck pain.  PAST HISTORY Patient had a fracture of right lower limb 6 yea...