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Bimonthly assignment(november)

  CASE : 1 1) "55 year old male patient  came with the complaints of  Chest pain since 3 days  Abdominal distension since 3 days  Abdominal pain since 3 days and decreased urine output since 3days and not passed stools since 3days. https://sreejaboga.blogspot. com/2020/11/is-online-e-log- book-to-discuss-our.html?m=1 A) Where are the different anatomical locations of the patient's problems and what are the different etiologic possibilities for them? Please chart out the sequence of events timeline between the manifestations of each of these problems and current outcomes.  Ans-Gallbladder,pancreas,Rt lung,kidney,thyroid. Gall stones due to Hypertriglycerdemia a-acute pancreatitis mostly due to gallstones  it can be due to alcohol  also acute pancreatitis leads to SIRS Bcz of SIRS exudative pleural effusion on rt side of heart. AKI due to prerenal cause that is acute pancreatitis usg abdomen,CXR,sr.amylase,CBP,RFT, 2D echo,TFT,ascitic tap,pt,lipid profile B) What are the pharmac
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70 year old female with diabetic ketosis(resolved) with ?enteric fever with UTI with type 2 DM with HTN

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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: 70 yr old female came with c/o fever associated with chills since yesterday morning. She was apparently asymptomatic till yesterday morning.at 6 am pt. had one spike of fever associated with chills,high grade fever,relieved on taking medication with severe sweating.Again she had another spike of fever at 8 pm in the evening associated with chills,so they took her to near by hospital,there BP was recorded as SBP-230 and taken nifedipine sublin
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58 year old male with right sided hemiplegia,acute hemorrhagic stroke ,hypertensive bleed in left frontoparietal lobe with midline shift to left

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  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: 58 year old male,daily labourer by occupation came with  c/o inability to move right upper and lower limb since yesterday evening  Aphasia since yesterday evening  Deviation of mouth to left side  Altered sensorium + History of present illness: Patient was apparently asymptomatic till yesterday evening and was brought home by outside people around 6pm where there was a sudden history of fall with inability to lift right upper and lower limb
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