Chandanavishwanatham1909

DR.CS:https://nikithaedam48.blogspot.com/2021/06/18-year-old-malefrom-miryalagudawho-is.html 18yr male with hyperbilirubinemia secondary to ?gilbert ?Criggler najjar  DKA (resolved) ?denovo type 1 Dm C/o severe low back ache with tenderness + on examination His LFT on 11/6/2021 total bilirubin 6.7,direct 3.9,indirect 2.8,Ast,AlT,albumin normal On 12/6/2021 total bilirubin 8,direct 2, indirect 6,AST,ALT normal,ALP  On 14/6/2021 total bilirubin 6,direct 4.5,indirect 1.5,AsT AlT normal,AlP 150 UsG abdomen :normal Pt has severe LBA since 1week and tenderness + sir Is there any sacroilitis sir? Dr.ZA: Subjectively-c/o lethargy from today afternoon. Did not pass urine the entire day. Objectively- pt is drowsy not responding to verbal commands, responding to painful stimulus , giving bizarre starey looks occasionally. BP-110/70 PR-70bpm regular normal volume Abdomen- Palpable bladder Assessment- ? Absence seizure / ? Intra parenchymal bleed Plan-sr electrolytes sent CT brain planned now http

  Link to case 8 splenomegaly  https://raveen7795.blogspot.com/2022/11/14m-massive-splenomegaly.html?m=1

Link to case 7 splenomegaly : https://munukutlasaimythili.blogspot.com/2022/09/a-case-of-50-year-old-man.html?m=1  

 Link to case 6 splenomegaly https://abdulraheem7168.blogspot.com/2021/01/41year-old-male-with-portal.html?m=1

  https://chandanavishwanatham19.blogspot.com/2021/03/17year-old-female-with-recurrent.html?m=1

 This is 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 comments on comment box is welcome. I've 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 a diagnosis and treatment plan. 18/3/2022 AMC BED 6  A 19 yr old male student came with c/o b/l leg pain since 16/3/22 midnight  In 2008 pt had yellowish discoloration of eyes ,visited our hospital, initially guven iro

20 year old male with massive spleenomegaly  This is 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 comments on comment box is welcome. December 19, 2022 I've 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 a diagnosis and treatment plan. Following is the view of my case:  Chief complaints:  20 year male patient came to the casualty with the chief complaints of

February 10, 2022 A 23 YEAR OLD MALE WITH MEGALOBLASTIC ANAEMIA SECONDARY TO VITAMIN B 12 DEFICIENCY ? ASYMPTOMATIC CELIAC DISEASE, FISSURE IN ANO.  UDHC SIMILAR CASES  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" A 23 year old male studied up to intermediate, currently working as driver came to OPD with  C/O yellowishdiscoloration of eyes since 15 days.  C /O fever since 1 week  SOB on extertion since 1 week abdominal discomfort and pain since 1week  blood in stools 1 episode ,2 days back.  HOPI: patient was apparently asympto

20 year old woman with Hypoproliferative anemia and hepatosplenomegaly  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:(25 September 2020) 20 year old female studied upto 8th class and happily married 2years ago Came with c/o yellowish discolouration of eyes since 1 year SOB on exertion since 1year Irregular menses since 1 year Pt was apparently asymptomatic 1year ago Then she developed yellowish discolouration of eyes 1year ago for which she used unknown medication(chetla mandu) and then