General Medicine Cases

Date-19/12/21. "This is an online E log book to discuss our patients 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 inputs". Date of admission-13/12/21. 70 years old male daily wage labourer by occupation came to the casuality with the chief complaints of;  BURNING MICTURATION -since 4 days SHORTNESS OF BREATH with wheeze-since 4 days FEVER WITH CHILLS-since 4 days HISTORY OF PRESENT ILLNESS; Patient was apparantly asymptomatic 4 days  ago having a normal daily routine,he used to wakeup early in the morning around 5.00am and around 9 am he used to go to farm land, he used to return home by 6.pm and he used to sleep by 9.pm.4 days ago he developed fever with chills,then their family members took him to local hospital

 25.C.Ruchitha Reddy October 12 2021. This is an online E log book to discuss our patients 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 inputs. A 15 year old female,studied till 5 the class currently working as a daily wage worker, came to casualty with chief complaints of; 1)Bilateral lower limb edema since 15 days 2)Reduced urine  output since 10 days 3)Abdominal distension since 5 days 4) Facial puffiness since 3 days  5)Nonproductive cough since 3 days HISTORY OF PRESENT ILLNESS; Patient was apparently asymptomatic 15 days ago later she developed  a swelling in the vaginal region which was insidious in onset and gradually  increasing in size, This was diagnosed as Bartholin cyst for which incision and drainage was done.