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Showing posts from April, 2022

62 yr old man with severe chest pain

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 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 Age: 62 Gender: Male Weight: 46.7 kg Occupation: Is farming labor by profession(wheat and paddy plantation). In between used to play drums in Yatra 12 years ago.  PAST HISTORY: 2 years ago, one day he noticed blood with the stool of around 100ml. From that day onwards he says blood comes out with his stool for around 10-15 days continuously then stops for 15 days. This cycle goes on and is still continuing. He feels no itchiness or splinter hemorrhagic pain during defaecation. In the year 2019, he had an episode of fever which lasted for 7 days. A local Clinician advised a blood test and diabetes was det...

45 year old man with knee joint pain

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 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. PAST HISTORY: The patient is a 48 yrs old male, who is a grocery shop owner by profession.  He heard from his parents that at the age of less than 1 yr he had an allergic reaction due to an unknown etiology. Had rashes, and sneezing. They took him to a village quark and on his advice used to keep him wrapped in banana leaves and fed him some herbal medicine. He recovered within a few months.  In 1992 at the age of 17 yrs, again allergic reaction due to an unknown etiology. Had severe rash, ?blisters, or lesions on hand and legs with an itchy sensation. Was given an injection in the gluteal region. aft...