Swathibogari

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 Question 1) pain in the epigastric region differentials Epigastric Biliary: cholecystitis, cholelithiasis, cholangitis Cardiac: myocardial infarction, pericarditis Gastric: esophagitis, gastritis, peptic ulcer Pancreatic: mass, pancreatitis Vascular: aortic dissection, mesenteric ischemia p971.html Gall stones : This occurs at the level of the sphincter of Oddi, a round muscle located at the opening of the bile duct into the small intestine. If a stone from the gallbladder should travel down the common bile duct and get stuck at the sphincter, it blocks outflow of all material from the liver and pancreas. This results in inflammation of the pancreas that can be quite severe. 2)s

  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 30 year old male came with C/o shortness of breath(grade2)according to NYHA since 1month c/o palpitataions since 1 month C/o fatigue since 1month C/o body pains since 1month Pt was apparently asymptomatic 1month back then developed shortness of breath which was gradual in onset ,progressive associated with palpitations grade 2 according to NYHA associated with orthopnea,no c/o sweating ,vomitings C/o bodypains since 1 month (diffuse

  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 25 year old male came with  C/ o fever since 3days C/o loose stools since 2days C/o vomitings since morning Patient was apparently asymptomatic 3days back then he developed fever which was insidious in onset ,gradually progressive associated with chills and rigors ,fever subsided on medication C/o loose stools ,watery in consistency ,4-5 episodes in a day @yesterday Today 3episodes in a day C/o vomitings (non projectile ,non biliou

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 60 year old female came with C/o weakness of left upper limb and lower limb since yesterday evening @7pm C/o deviation of mouth to right H/o fever since 10days back and cold since 10days back Patient was apparently asymptomatic 10days back uthen developed cold and fever which is insidious in onset gradually progressive associated with chills and rigors,subsided on taking medication from an local rmp C/o burning mictuaration since 10day