General medicine case

  General Medicine Case 11 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. A 20 year old male,who works in a sweet shop is a resident of khatanqur came to casualty with chief complaints of fever since 5 days.  History of Present illness:- Patient was asymptomatic since 5 days ago then he developed high grade fever not associated with chills and rigors which was intermittent and with no diurnal variations.  No h/ o vomitings,loose stool.No  h/o cough,SOB.No  h/o burning micturition. No h/o hematuria,melena, bleeding gums, hematemesis and no other bleeding manifestations . Past History:- Not a know case of Hypertension, Diabetes, Asthma, tuberculosi

General Medicine Case 10 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. A 21 year old female who is studying Degree came to OPD with Chief complaints of seizures since 1 month. History of Present illness:- Patient was apparently asymptomatic since 2 years. She diagnosed as Diabetic and Hypothyroid 2 years ago as she had fever which lasted for 15 days . Fever - high grade associated with chills and rigors went to hospital.She came to OPD with Chief complaints about seizure since 1 month. It is GCTS type of seizures lasted for 10 minutes  , 1 episode - no tongue bite ,froth from mouth , involuntary defecation , micturition ,uprolling of eye. She ha

  General medicine  case 09 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. A 48 year old male who work as farmer resident of Narketpally came to casualty with Chief complaints of bilateral pedal edema since 3 months, abdominal distension since 3 months. History of Present illness:- Patient was apparently asymptomatic 10 years ago following which his son had depression in his 10th grade due to which patient underwent depression and got addicted to alcohol.9 years back he had severe depression and committed suicide by swallowing poison and admitted in KIMS,NKP and got treated and diagonosed with DM 8 years ago.He again committed suicide by swallowi