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55/M with anuria and distended abdomen.

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 A 55 year old man, resident of Yadagirigutta has come with complaints of reduced urine output since yesterday (01/08/2022) night 10pm History of presenting illness Patient was apparently asymptomatic 20 days ago, then had fever with evening rise of temperature and chills. He went to a hospital 2 days later and was given medication. He went for a checkup 5 days later and was found to have reduced WBC count and was given medication. He went for a checkup a week later and had found out to have jaundice. 3 days ago, he had fever with yellowish discolouration of eyes(Serum bilirubin was 2.4mg/dl) and pedal edema(upto ankle). Since yesterday(01/08/2022) night 10pm, he has not passed urine, his abdomen is distended and he has shortness of breath. Past history  History of fracture of head of femur in Jan 2022. He underwent reconstructive surgery with prosthesis and was on advised bed rest for 2 months   N/k/c of Diabetes, hypertension, epilepsy, asthma, CAD, Thyroid disorders,Tu...
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25/M with blood in stools

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  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.  A 25 yr old male patient resident of Narketpally ,runs a wine shop ,presented with chief complaints of Blood in stools since 9 days , Shortness of Breath since 4 days , Headache since 9 days. HISTORY OF PRESENTING ILLNESS:  Patient was apparently asyptomatic 5 months back, then he noticed blood before and after passing stools for which he took medication (unknown). Since 9 days, he has been complaining of blood in stools  associated with an episode of vomiting, not associat...
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40/F with high grade fever

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    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. 40 year old female with to casualty with complaints of high grade fever since 5-6 days C/o vomitings since yesterday C/o loose stools since today. History of presenting illness :  Patient was apparently asymptomatic 5-6 days then she developed fever , sudden high grade not a/w chills and rigors , intermittent,  relieved temporarily on medication. C/i vomiting since yesterday h/o 3-4 episodes , content good particles ,non bilious , non projectile , nausea present  C/o ...
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