medical cases

 BACKGROUND: "Understanding anemia’s varied and complex etiology is crucial for developing effective interventions that address the context-specific causes of anemia."  "While iron deficiency ID remains a primary cause in many settings, the proportion of anemic individuals with ID varies by contextual factors, and poor iron nutrition cannot be assumed to be the primary cause in all cases. Given the complex etiology of anemia, the extent to which ID accounts for the anemia burden continues to be investigated." AIM  To navigate clinical complexity in patients with anemia and optimize their management toward reducing diagnostic and therapeutic uncertainty along with improvement in their anemia outcomes. OBJECTIVES • To assess various clinical and investigational characteristics of patients with anemia in relation to their clinical complexity and outcomes. • To analyse patient outcomes based on morbidity (physical, social & psychological limitations) PATIENTS AND...

This is an online e log book to discuss our patient de-identified health data shared after taking his / her / guardians signed informed consent. Here we discuss our individual patients problems through series of inputs from available global online community of experts with an aim to solve those patients clinical problem with collective current best evident based input. This E blog also reflects my patient centered online learning portfolio and your valuable inputs on the comment box is welcome. Case : 35 years old female,resident of choutuppal,works in the hotel, came with chief complains SOB since 3 months , fever and generalised weakness since 1 month. HOPI: Patient was apparently asymptomatic 3 months back then she had shortness of breath which relieved on taking rest ,No orthopnea, no PND. -C/o generalised weakness since 1month ,13 days back she went to the Suryapet hospital ,there they did haemogram and diagnosed as anemia, at that time her hb was 3 gm/dl. -C/o fever since 1 mont...

A 40 year old male came with complaints of easy fatigability since 1 year (on & off) Shortness of breath since 5-6 months HOPI: Pt was apparently asymptomatic 1 year back he then noticed having easy fatigability - feeling tired on doing minimal work  insidious in onset and gradually progressive. C/o shortness of breath since 5-6months insidious in onset and gradually progressive grade ll to grade lll (now) C/o decreased appetite since 1 month, Normal urine output C/o blood in stools (on & off) since 1 year with fresh blood streaks. No h/o constipation, difficulty on passing stools No c/o fever ,pain abdomen,cold,cough, burning micturition, vomitings,nausea,blood in urine. No h/o chest pain,orthopnea,PND, palpitations, giddiness, sweating. C/o generalized weakness of body since  5-6 months. Not a k/c/o DM,HTN,CVA,CAD, Epilepsy, Thyroid diseases, Bronchial Asthma. Personal history: Ocassionally Alcoholic and stopped 10years back  Tobacco smoking since 20 years No h/...

Thursday, 17 November 2022 80 yr old male with B/L pedal edema,sob,fever.. This is an online e log book to discuss our patient de-identified health data shared after taking his/her/guardians signed informed consent. Here we discuss our individual patients problems through series of inputs from available global online community of experts with an aim to solve those patients clinical problem with collective current best evidence based input This E blog also reflects my patient-centered online learning portfolio and your valuable inputs on the 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.  This is a case of 80 year old male with shortness of breath ,right side chest pain,facial puffiness since 3 days. CHIEF COMPLAINTS:  A 80 ...

35 yr female farmer by occupation came to OPD complaining of fever  Lower abdominal pain  Lower back pain Burning micturition Cough since 6days Hopi. Patient was apparently asymptomatic 6months back she had fever followed by painful swelling of both hand  small joint pains and lower limb ankle joint pains and swelling for which he went to a private hosp at miryalaguda and got treated Nw she is complaining of fever assosiated with chills and rigours and evening rise of temperature assosiated with lower back nd lower abdominal pain n burning micturition  since 6days and dry cough since 2 days for which she got admitted in private hospital and got investigated and found to have rt pyelonephritis in the scan Personal history Patient appetite normal Diet mixed Sleep normal Addictions nil Bladder burning micturition Bowel regular Past history Patient had fever with joint swelling inlast 6 months back Is not a know case of Htn DM asthma cad eilepsy  Patients husband us...

Cheif complaints A 29year old female came to casuality c/o general weakness from 4days  Fever from 4days  Hematuria from today afternoon History of present illness Pt was apparently asymptomatic 5days back she developed fever since 4days  Which is continuous high grade fever assosiated with chills and rigour now sub sided after taking treatment at outside private hospital investigations showing 92000 platelet counts  Nw c/o hematuria blood in urine after passing urine from afternoon  General weakness from 4days No h/o burning micturition  No history of loose motions No h/o other bleeding diathesis like bleeding from gums Malena Past history not significant no comorbidities Family history not significant  Personal history appetite normal Diet mixed diet Sleep normal Addictions nil Micturition blood in urine from today afternoon Bowel movements regular General examination O/o pt c/c/c No pallor,icterus,cyanosis, clubbing, lymphedenopathy,koilonychia,peda...

A 65YEAR MALE BROUGHT TO CASUALLY C/O OF FEVER SINCE 20DAYS  SOB SINCE 2DAYS PAIN ABDOMEN SINCE 2DAYS DECREASED URINE OUTPUT FROM 1DAY ABSET URINE OUTPUT FROM NIGHT HOPI PATIENT WAS APPARENTLY ASSYMPTOMATIC 20DAYS BACK DEVELOPED FEVER ON AND OFF HIGH GRADE FEVER ASSOSSITED WITH CHILLS AND RIGORS FOR WHICH HE WAS TAKEN TO PRIVATE HOSPITAL DIAGNOSED TO HAVE THROMBOCYTOPENIA HE DEVELOPED SOB SINCE 2DAYS PAIN ABDOMEN IN RT UPPER ABDOMEN INSIDIOUS ONSET GRADUALLY PROGRESSIVE IN NATURE H/O VIMITINGS 20BACK NON BILIOUS ASSOCIATED WITH FOOD PARTICLES  C/O ABDOMINAL DISTENSION FROM YEATERDAY NO H/O LOOSE STOOLS  NO H/O BURNING MICTURITION  NO H/O COUGH PAST HISTORY PT HAD A FALL N HAD HIP SURGERY 2022JAN ?HIP REPLACEMENT IS NOT A K/N/C/O DM HTN ASTHMA CAD EPILEPSY HYPOTHYROID PERSONAL HISTORY APPETITE DIET SLEEP ADDICTIONS BOWEL N BLADDER MOVEMENTS ON GENERAL EXAMINATION PT IS DROWSY AND ALTERED PR 110BPM RR40CPM BP110/70MM OF HG CVSS1S2HEARED RS ...