BUTTI SONALI

 This is an online Elog 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. 75 year old female  Came to casualty with chief complaint of involuntary movements since yesterday night . Urinary incontinance + Uprolling of eye balls , no tongue bite  Aphasia ( resolved)   Patient was apprantly asymptomatic 3 years ago then she had h/o CVA with monoplegia and on regular medication.  H/o HTN since 3 years and on tab amlodipine 5mg , atenolol 50 mg . H/o trauma to right lower leg associated with swelling and fever was diagnosed as cellulitis and she neglected resulting in flare up of cellulitus for which she was admitted in our hospital twice . H/o  Epilepsy 6 mon back not on any medication .  K/C/O 

 This is an online Elog 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 75 years old male patient came to casuality with the chief complaints of  1) sudden onset of weakness in right upper limb & lower limb  2) Deviation of mouth to the left. 3) Slurring of speech. 4)cough with sputum since 10 days. HISTORY OF PRESENT ILLNESSES:- Patient was apparently asymptomatic 2 days back, yesterday while he was taking his tea at 7 pm he noticed sudden weakness in his right upper & lower limb, deviation of mouth towards left and Slurring of speech.He phoned to his attenders ,upon their arrival his upper limb weakness was resolving & on bringing him to the hospital deviation of mouth re

  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. Chief Compliant: 70 year old male patient farmer by occupation presented to opd with complaint of swelling of legs since 1 1/2 month &vomiting since 10 days. Shortness of breath.  History of present illness: Patient was apparently asymptomatic since 1 1/2 month.  Patient c/o of pedal edema since 1 1/2 month, progressive, putting type, bilateral & presence of facial puffiness. Shortness of breath, oliguria, abdominal distension.  Hiccups since 15 days.  C/o vomiting , containing food particles, urinary hesitancy, dribbling of urine.  History of past illness: H/o bilateral pedal edema 2ys back, used medication &a

 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 is a case of 38 year old male patient a daily labour by occupation presented to opd with chief complaint of decreased appatite from past four months and fever since three months,it's raised since ten days, decreased urine output, nausea. History of present illness : Patient was asymptomatic five months back then he developed loss of appetite , reduced sleep and decreased urine output associated with fever. No h/o Sob No h/o facial puffiness  No h/o chest pain  No h/o palpitations Patient is undergoing hemodialysis (2 times)  Past history:  There is no history of hypertension, diabetes melli

  October 03, 2021 70 YEAR OLD MALE WITH ACUTE ON CHRONIC RENAL FAILURE ( SEPSIS INDUCED 70 year old male with Acute on Chronic Renal failure ( Sepsis induced) Analgesic Nephropathy  A 70 year old male came to the casualty with c/o pedal edema since 1 n half month. which is progressive, pitting type, bilateral associated with facial puffiness. no h/o SOB, Oliguria, abdominal distension. pt complains he has HICCUPS since 15 days. C/O VOMITING 10 days back, food particles as content, non projectile, bilious. He usually have episode of Vomiting when he is travelling on bike or any other mode of transport. H/O B/L pedal edema 2 years back, used medication for it and the edema subsided. pt is a k/c/o HTN since 1 and half year. not a k/c/o DM,CAD, ASTHMA, TB. Appetite: Normal Diet: Mixed  Bowel movements: Regular. Micturition: Urinary hesitancy + dribbling of urine+ no increased frequency of urine. Sleep: Adequate. Habits: Alcohol- 90 ml occasionally. Tobacco: 1 Chutta/ day, stopped since 3