Posts

70 year old male with fever and weakness

Image
 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 patients clinical problems with collective current based inputs.  70 year old male with  1)fever since 15 days 2)generalised weakness and body pains  in bilateral lower limbs since 10  days HOPI Pt was apparently asymptomatic 15 days back then had fever which high grade more during night time associated with chills and rigors it is intermittent not associated with cold , cough, vomitings , loose motions, abdominal pain, burning micturition , no h/o rash, hematuria, bleeding from gums For which he was taken to local rmp and  got treated for the same and diagnosed typhoid fever and reports from outside showing platelets of 85,000 Then he had generalised body wea...

40 year female with vomitings, loose motions and anuria

Image
 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 patients clinical problems with collective current based inputs. CHIEF COMPLAINTS 40 year old female brought to casualty with chief complaints of 1) loose motions since yesterday 2) vomitings since yesterday 3) anuria since yesterday HOPI pt was apparently asymptomatic since yesterday.she attended a family gathering  and ate mutton .   she had vomitings and loose motions since yesterday mrng 4:00am.  vomitings  about 10 to 15 episode  watery in consistency  non foul smelling , non bilious, non projectile,  not a blood stained, not associated with nausea, fever, not associated with abdominal pain loose motions since 4.00 am in the mrng  ab...

50 year old male with weakness of both lower limbs and slurred speech

Image
  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 patients clinical problems with collective current based inputs. CASE  50 year old male with  ▪weakness of both lower limbs   and slurring of speech since 5 days HISTORY  OF PRESENTING  ILLNESS  Patient had a history of fall 1 year ago and he did not take any treatment for it and was alright for 8 months then 4 months back he had pain in right hip which was insidious in onset and gradually progressive in nature   since 1month there was change in the gait of patient which was noticed by his relatives and there is hematuria for 5 days which he has neglected For which he consulted local doctor and diagnosed avascular necrosis of of femur for ...