Posts

1601006187-- SHORT CASE FINAL PRACTICAL

Image
1601006187 SHORT CASE 1601006187 SHORT CASE   Case A 56 year old male sales manager by occupation came to opd with  CHIEF COMPLAINT  Easy fatiguability since 30 days  History of presenting illness  patient was apparently asymptomatic 30 days back OK then he developed fatigue on exception which was insidious in onset gradually progressive to the present stage ( he was able to walk 500 metres initially but now he can only walk hundred metres) with was associated with dyspnea on exception and body pains  No complaints of chest pain cough fever Easy fatiguability PAST HISTORY  No history of diabetes mellitus ,HTN,asthma,CAD FAMILY HISTORY Diet mixed Appetite normal  Sleep adequate  B and b regular  No addiction GENERAL EXAMINATION  Patient was conscious coherent cooperative moderately built moderately nourished VITALS  PULSE.94bpm Blood pressure -100/70 Respirator rate-29cpm OTHER SIGNS Pallor - present  Icterus absent  Cyanosis absent Koilonychia absent  Lymphadenopathy absent  Edema abse
Read more

1601006187-- LONG CASE Final practical

Image
April 29, 2021 HALL TICKET NO.: 1601006187 LONG CASE: 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 patient's 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 the comment box is welcome. A 61 year old gentleman ,shepherd by  occupation came with complaints of pain in abdomen since 10 days and Fever since 2 days. HISTORY OF PRESENT ILLNESS : Patient was apparently asymptomatic 10 days ago ,then he developed 1.  Pain in abdomen      -from  10 days    -It is a diffuse type , insidious in onset , progressive, dragging associated with shortness of breath , it was non radiating, moderate pain with no diurn
Read more

General Medicine ,

Following is my analysis of the 42 year old female  patient multiple problems which she had since birth: You can find the entire real patient clinical problem here:( https://classworkdecjan.blogspot.com/2019/05/42-f-with-severe-regular-edema-with_17.html?m=1 ) (Overview of G6PD deficiency:          (Edema was extremely fluctuating within days and trigger points as mentioned by the patient were Emotional stress, Eating wrong food, Exercise in excess, Smoke. It relieved spontaneously. Associated with SOB and dark urine. These features are suggestive of G6PD deficiency which causes damage to the organs like kidney by free radicals because of lack of NADPH. Also kidney needs a lot of energy for ions active transport and water balance in the body. The Edema have occurred because of excessive loss of ions. Also the Hemolysis caused because of G6PD deficiency is responsible for fatigue and SOB because of reduced red blood cell count. The same must have been the reason for dark coloured urine
Read more