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Showing posts from February, 2022

29 year old male post renal transplant renal failure.

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This is an online e log book to discuss our patient de-identified health data shared after taking his / her / guardians signed informed consent. 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 problem with collective current best evident based input. This E blog also reflects my patient centered online learning portfolio and your valuable inputs on the comment box is welcome. I have been given this case to solve in an attempt to understand the topic of " patient clinical data analysis" to develop my competency in reading and comprehending clinical data including history, clinical findings, investigations and come up with diagnosis and treatment plan. On 7th February a 29 year old male resident of west bengal computer technician by occupation came to General medicine opd for a regular checkup after live renal transplant in April 2021, reports ended up showin

A 75 year old female with burning micturition and altered sensorium (Type 2 DM since 4 yers and Hypertension since 3years)

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History of present Illness:  75 years old female presented to General medicine department with chief complaints of burning micturition since 6 months,shivering and decreased responsiveness since yesterday morning .  Patient was apparently asymptomatic 4years back then she had a fall from stairs and got her knee injured which later got ulcerated and grafting was done, then she was diagnosed with diabetes mellitus. 3years ago she had an episode of giddiness and was diagnosed with hypertension.  3 years back she had a low back ache and was diagnosed with some kidney problem ,2 years back she had chest pain and was diagnosed with heart problem? And using medication regularly. H/o slight involuntary movements of hands. No h/o fever , headache, neck stiffness. No h/o head/ spine trauma No h/o loss of consciousness, vertigo, tinnitus.  Past history : DM - 4years                          Hypertension- 3years  Not a known case of tuberculosis,asthma, epilepsy, thyroid abnormalities. Personal hi