A 54 year old male with cough,abdominal tightness,pedal edema and diarrhea.

Posts

September 07, 2020

1)Anatomical diagnosis -? Glomerulosclerosis Etiological diagnosis - ?? Nephrotic syndrome secondary to the diabetic nephropathy or CKD. 2)Reasons for I) Azotemia : impaired renal excretion of urea and creatinine secondary to CKD. II) Anemia : decreased erythropoietin. III) Hypoalbunemia: capillary basement membrane and podocytes damage. IV) acidosis: acidification of urine is lost. 3) Rationale : syp potchlor was given because of the hypokalemia.. Inj. NaHCO3 was given because of metabolic acidosis ..Insulin and antihypertensives are given because known case of DM and HTN. Orofer XT was given because of anemia.. Inj. Lasix was given to decrease her volume overload. Spironolactone was given it was a potassium sparing diuretic.Calcium was given to the patient because of hypocalcemia secondary to CKD. Indications of NaHCO3:metabolic acidosis in cardiac arrest, Tricyclic

A 25 year old woman with shortness of breath.

September 06, 2020

Hello everyone.. I am Sai Niharika , an intern posted in medicine department and one of the important terms of getting the internship completion is to complete my log book with my online log of what I learn during the course of my duties. 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 problems with collective current best evidence based inputs. This E log book also reflects my patient-centred online learning portfolio and your valuable inputs on the comment box is welcome Here is the case I have seen- A 25 yr old woman presented to our hospital at around 6pm with chief complaints of cracked nipples since 7 days. breathlessness and profuse sweating since 3 days, vomitings since morning. She was apparently well 7 days back,then had cracking of nipples a/w pain and profuse sweating and breathlessness since 3 days,sob is sudden in onset and progressed from grade 1-4. Sw

A 40 year male with difficulty in swallowing and deviation of mouth.

August 16, 2020

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. Here is a case i have seen: A 40 year male,security guard by occupation came to the casualty on 15/8/20 with the complaints of difficulty in swallowing since 3 days,Deviation of angle of the mouth to left and numbness of left half of the body since 2 days,Giddiness intermittently on walking since 1 day On 13/8/20, there was a sudden difficulty in swallowing for about one hour in the morning and again difficulty in swallowing occured in the evening and it got continued