GENERAL MEDICINE - Case Discussion

Introduction:   This is an online  E-log Entry Blog to discuss, understand and review the clinical scenarios and data analysis of patients so as to develop my clinical competency in comprehending clinical cases, and providing evidence-based inputs.  Note:   The  cases have been shared after taking consent from the patient/guardian. All  names and other identifiers have been removed to secure and respect the privacy of the patient and the family . Chief complaints: Patient came to casualty in an unresponsive state with blood pressure not recordable, spo2 35% on 15 liters of o2 and no pulse with electrical activity.  History of Presenting illness: 25 yrs ago patient had sudden onset chest pain, radiating to neck, and palpitations and was taken to hospital and diagnosed to have occlusion myocardial infarct and percutaneous coronary angioplasty was done 2017 - Patient had complaints of shortness of breath since 2-3 weeks and increased snoring with  da...

Introduction:   This is an online  E-log Entry Blog to discuss, understand and review the clinical scenarios and data analysis of patients so as to develop my clinical competency in comprehending clinical cases, and providing evidence-based inputs.  Note:   The  cases have been shared after taking consent from the patient/guardian. All  names and other identifiers have been removed to secure and respect the privacy of the patient and the family .   A  20 year old female patient, nursing student presented to the OPD on 22nd March with, CHIEF COMPLAINTS : 1. Abdominal pain since morning 7:00 am (22nd March) 2. Vomiting since morning 7:00 am (22nd March) HISTORY OF PRESENTING ILLNESS: Patient was apparently asymptomatic 5 days back, when she developed abdominal pain in the epigastric region which was sudden in onset, gradually progressive, burning type of pain since morning with no aggravating and relieving factors. For the relief of abdominal pain,...

Introduction:   This is an online  E-log Entry Blog to discuss, understand and review the clinical scenarios and data analysis of patients so as to develop my clinical competency in comprehending clinical cases, and providing evidence-based inputs.  Note:   The  cases have been shared after taking consent from the patient/guardian. All  names and other identifiers have been removed to secure and respect the privacy of the patient and the family . CASE:   A 70 year old female home maker since 10-15 years (farmer by occupation) came to the casualty in a drowsy state. HOPI: Patient was apparently asymptomatic 10 years back ,then patient had h/o fall for which she went to local hospital where she got diagnosed with Diabetes mellitus and since then she is on OHA medication (glim m2) 4 YEARS BACK She had h/o fall and went to hospital and got diagnosed with HTN.  1 session of dialysis was done (indication/cause unknown) 1 MONTH BACK she developed hypogly...