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Showing posts from August, 2022

A 60 year old male with quadriparesis

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  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.  13/08/2022 Blog by Janhavi Virani  Roll no 58  A 60 year old male patient resident of Yadadri who is a farmer by occupation came with complaints of -  1. Burning micturition since 4 months  2.  Abdominal distension since 2-3 months  3.  Upper and lower limbs swelling since 20 days   4. constipation since 4 days HOPI -  Patient was apparently asymptomatic 11 years back when he got some injury to his right knee followed by which he developed swelling ( hematoma ) and went through operation.  4 and half year back he fell down had a injury to the lower back region following which he had weakness of  all four limbs . For 2 months he took conservative management ( eating fish and eggs ) regained power gradually and was able to walk initially and later was able do some of his daily chores . Since last two years he is not able to walk at all

A 66 year old male with Chronic Renal Failure

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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.  05/08/2022 Blog by Janhavi Virani  Roll no 58 A 66 year old male who is a resident of Suryapet and a businessman by occupation came to opd four days back with chief complaints of  1. Pedal Edema since 3 months  2. Shortness of breath since 3 months  HOPI -  Patient was apparently asymptomatic 12 years back .  He was having complaints of vomitings and chest pain and was diagnosed with Ischaemic Heart disease and went through bypass surgery (CABG) .  The same time he was diagnosed with DM and Hypertension.  3 months back was having pedal Edema which is pitting type and extends till knees . shortness of breath on walking a long distance for which he went to hospital and was diagnosed with kidney disease.  He came here 4 days back for dialysis. He had 2 rounds of dialysis till now .  DAILY ROUTINE-  PAST HISTORY-  A known case of Diabetes

A 64 year old male with vomitings and right flank pain

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  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.  02/08/2022 Blog by Janhavi Virani  Roll no 58 A 64 year old male resident of Chotuppal came with chief complaints of  1. Vomiting since 15 days  2. Burning micturition since 15 days  3. Right flank pain since 15 days  HOPI - Patient was apparently asymptomatic 15 yrs back.Then he developed pain in the right loin and was diagnosed with renal calculi(bladder) and was operated and then 3 yrs later again he developed bilateral loin pain and was diagnosed with bilateral renal calculi (ureters) and was operated with a gap of one month. Then 3 yrs later he developed a midline swelling approx 3 cm below umbilicus and diagnosed with abdominal hernia and a mesh was placed. Then 1 yr later he developed abdominal pain and endoscopy was done and diagnosed with ulcer and was managed conservatively During this he was diagnosed with diabetes and hyp