Posts

"MY EXPERIENCES WITH GENERAL CELLULAR AND NEURAL CELLULAR PATHOLOGY IN A CASE BASED BLENDED LEARNING ECOSYSTEM’S CBBLE”

Image
Hello everyone,  I am Saptarshi Saha, a 4th year medical student studying MBBS Jinan University in China. As a medical student, my journey has been full of ups and downs, excitement and surprises, but one of the most impactful and thrilling experience for me has been writing, preparing and presenting medical case reports (like painting the real life portrait of an individual). Each individual is unique and every“body” has something new to tell. Preparing case reports is what I believe to be the best way to deal with medical issues and gain deep insights into healthcare problems. So, in this blog I invite you to be my companion in this journey to explore few of the many interesting cases from my portfolio, which I got the opportunity to prepare till date under the guidance of my esteemed professor Dr. Rakesh Sir (HOD medicine KIMS) and my Seniors whose valuable inputs have made my learning experience much more impactful. I welcome all the readers to explore these case reports with me as
Post a Comment
Read more

52 yrs old female w/c/o recurrent ulcers, pain on rt knee and hip

Image
  PATIENT HISTORY: Pt is a 52 yrs old female, working as a school teacher. BIOLOGICAL COMPONENT: Since childhood, the patient suffers from constipation (2-3days later incomplete defecation, hard stool) At the age of 19, she c/o heavy bleeding while passing stool followed by splinter hemorrhagic pain 1-2 hrs after defecation of hard stool which made it impossible to sit also. The doctor prescribed medications that stopped the bleeding. Now, no more bleeding, only when suffering from constipation c/o pain while defecating. In 1999, she started c/o a continuous whole right side pain (from head to toe) which would intensify on working and at night while going to sleep(the pain would be so severe that she could not fall asleep also sometimes). After suffering for a few months and taking medicines from a local Doctor slight relief. She went to Vellore to seek further advice where Doctor said the pain was due to some minor neuropathic problem. Medications were prescribed taking which would
Post a Comment
Read more

9 yrs old female w/c/o stuffy nose

Image
 NOTE: THIS IS AN ONLINE E LOGBOOK 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 A SERIES OF INPUTS FROM THE AVAILABLE GLOBAL ONLINE COMMUNITY OF EXPERTS INTENDING TO SOLVE THOSE CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE-BASED INPUT.   PATIENT HISTORY: Pt is a 9 yrs old female Till the age of 6-7 yrs, she c/o constipation (2 days no defecation), passing very hard stool. Dr prescribed high fibre diet taking which normalised her bowel movement.  At that time only, she also used to c/o digestive issues (acid reflux, sour burps, sour aftertaste, foul smell from mouth) on eating something fried, oily and spicy. Now the frequency has decreased a lot after starting high fibre diet and taking lot of water. Since childhood, she used to suffer often from cough and cold (nasal congestion and dry cough), would last for 8-10 days, happening 2-3
Post a Comment
Read more

49 yrs old female w/c/o whole abdomen burning sensation

Image
 NOTE: THIS IS AN ONLINE E LOGBOOK 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 A SERIES OF INPUTS FROM THE AVAILABLE GLOBAL ONLINE COMMUNITY OF EXPERTS INTENDING TO SOLVE THOSE CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE-BASED INPUT.   PATIENT HISTORY: Pt is a 49 yrs old female, homemaker. Since childhood, pt c/o constipation (passing normal stool after 2-3 days). Doing Ayurvedic syrup causes relief. In the year 2003, pt c/o of her whole body edematous, pitting edema noted, acute insomnia, malaise. Dr found her TSH level high and diagnosed her with Hypothyroidism. Took medication and follow-up reports showed TSH normal. At that time, wt was 75 kgs (now 62 kgs). In 2008, she c/o insomnia, a burning sensation in the sole of her feet, along with gastric problems (whole abd burning sensation, bloated abd, incomplete defecation), and itc
Post a Comment
Read more

45 yrs female with fatty liver

Image
NOTE: THIS IS AN ONLINE E LOGBOOK 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 A SERIES OF INPUTS FROM THE AVAILABLE GLOBAL ONLINE COMMUNITY OF EXPERTS INTENDING TO SOLVE THOSE CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE-BASED INPUT.   PATIENT HISTORY: Pt is a 45 yrs old female, a housewife but working as a teacher for an NGO. When in primary school (aged 9-10 yrs) suffered from UTI (burning micturition, high fever). When 10 yrs old, suffered from jaundice. 1-month bed rest. Since childhood often suffered from cough, cold, and fever. From age of 19-20 yrs, suffers from migraine attacks 2-3 times/month. Paracetamol with sleep provides relief. When aged 30 yrs, she noticed a lump in her left breast. At that time no pain. Dr diagnosed it to be a benign tumor. For the past 2-3 yrs, after eating immediately needs to go to the washroom. Pa
Post a Comment
Read more

49 yrs old male with involuntary head movement

Image
NOTE: THIS IS AN ONLINE E LOGBOOK 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 A SERIES OF INPUTS FROM THE AVAILABLE GLOBAL ONLINE COMMUNITY OF EXPERTS INTENDING TO SOLVE THOSE CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE-BASED INPUT.   PATIENT HISTORY:  Biological component: Pt is a 49 yrs old male, who used to run his own business of distributorship of cosmetic products, before finally shutting down business in 2016. Till graduation he was alright. In 1998, met with an RTA, and suffered from hip and pelvic #. He took 2 months of complete bed rest. Then returned to normal life. At that time his older brother took care of him. In 2000, one day while watching TV in the club room, he felt the back of his neck and head getting stiff along with the involuntary movement of his head in a "no-no" fashion (at first only visible on c
Post a Comment
Read more

62 yrs old male w/c/o SOB, lower back pain

Image
NOTE: THIS IS AN ONLINE E LOGBOOK 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 A SERIES OF INPUTS FROM THE AVAILABLE GLOBAL ONLINE COMMUNITY OF EXPERTS INTENDING TO SOLVE THOSE CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE-BASED INPUT.   PATIENT HISTORY: Pt is a 62 yrs old male, a forest ranger (retired) Pt belonged to a very humble family and lived in a village during his childhood days. At the age of 15-16 yrs, used to c/o indigestion, acidity, and epigastric burning sensation sometimes. Dr. prescribed medication, which provided relief.  Around the same age, one day while passing stool in an open field, he noticed his stool color is black. After defecation, he stood up to fetch water and felt lightheadedness and as if he will faint. He was falling, but his friend caught him in the nick of time. In 2002, suffered from malignant malari
Post a Comment
Read more