General medicine

  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 CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE BASED INPUT  A 47 year old lorry driver  came with c/o pain abdomen since today 3 am (23/2/2022). Hopi: Patient was apparently  asymptomatic 14 years back, went to hospital for regular check up and was diagnosed with DM -2  and since then he is on OHA’s , Gilmi M2 po/bd.  10 years back on routine check up he came to be diagnosed with HTN and he is on TELMA - H / OD .  20 years back diagnosed with renal calculi ,pain- operated 4.5 years back , patient c/o abdominal full ness , associated with  tightness , squeezing type , relieved with vomitings  associated with  vomitings  bilious  associated with food particles  Patient

  "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. Unit 3 & 6 ICU BED 2 Chief complaints: 50 Male Patient Came To Casualty With Complaints Of TINGLING in both legs and Arms since 1 day SLURRING of Speech Since 3 hours Patient Is Diabetic Since 10 years , incidentally Diagnosed . Patient Was Apparently Asymptomatic 1 day Back And Then He Developed Numbness And Tingling In Both upper ( extending upto Wrist )and Lower limbs (extending Upto Knee) which resolved for a few hours today morning But Started Again at 3:00 pm . Also Complains Of Slurring Of Speech . No H/o Headache , Vomitings , Blurring Of Vision , No H/o Facial Drop , Seizures , Loss Of Consciousnes

  "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. Unit 3 & 6 Amc bed 5 Chief complaints: Patient came to casualty with complaints of pain in abdomen from today morning  History of presenting illness: 55yr/M barber by occupation was apparently asymptomatic 15 years back then he had c/o pain abdomen diagnosed as intestinal perforation discharged after 1 week and again he complains of abdominal pain since today morning which was in midline between epigastric and umbilicus squeezing type sudden in onset progressive, aggravates on deep inspiration and no radiation not associated with nausea and vomiting.also have c/o chest pain , epigastric region burning type