Rare cases

suspected budd chiari














14. chorea


16. PFAPA



19. SLE









35. NCPF







 

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14/M, massive splenomegaly

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This is an online Elog book to discuss our patient deidentified health data shared after taking his/ her guardians sign informed consent Here we discuss our individual patient problems through series of inputs from available Global online community of experts with n aim to solve those patient clinical problem with collect current best evidence based input This Elog also reflects my patient centered online learning portfolio. I have been given this case to solve in an attempt to understand the topic of " Patient clinical data analysis" to develop my competancy in reading and comprehending clinical data including history, clinical finding, investigations and come up with a diagnosis and treatment plan CONSENT AND DEIDENTIFICATION :  The patient and the attenders have been adequately informed about this documentation and privacy of the patient is being entirely conserved. No identifiers shall be revealed through out the piece of work whomsoever . Case history : 14 yr old male ca
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Case 32 : 47 year old male with fever ,headache and altered sensorium

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  47 year old male with fever ,headache and altered sensorium   March 26, 2022  thanks DR. Divya raju (intern) CHIEF COMPLAINTS : Patient came to the hospital with the chief complaints of - fever , headache , altered talking ,walking n confusion. HOPI : Patient was apparently asymptomatic 5days back .Then developed-  High grade fever with chills, intermittent in nature, relieved on medication and was associated with  headache. Altered sensorium since 2 to 3 hours (not talking and not working properly). No urine output since morning on 24-3-22 No history of  burning micturition,  vomiting, loose stools,  SOB,  cough ,chest pain, bleeding manifestations. pERSONAL HISTORY: Diet- mixed Appetite- decreased since 3 days Sleep - indequate Bowel - regular Bladder - decreased urine output on 24-3-22 PAST HISTORY : N/K/C/O DM ,HTN,BA,TB, CVA,CAD, epilepsy ADDICTIONS: Smokes ,montly once and was a occasional drinker but stopped 1 month back. No significant drug history FAMILY HISTORY  : not signi
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case 1 : A 41y old man with altered sensorium

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  A 41y old man with altered sensorium September 02, 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 41yr old man  who is a farmer came with complaints of pain abdomen and vomitings since one day Patient was apparently alright 2 days back later he had pain abdomen following an acute binge of alcohol(750ml of local liquor) in epigastric region, colicky type,non progressive, non radiating,Which got relieved on taking food He had vomitings-2 episodes, non bilious,non projectile,conte
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