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Showing posts from May, 2022

15 year old boy with chest pain and dyspnea

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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: Pt is a 15-year-old boy, studying in class 10. At the age of 8 - 9 yrs, he used to have nonspontaneous whole body/jt. pain and aches (2 - 3 episodes every day), pain in the lower back, sometimes accompanied by fever; for which he got treated by a Clinician (recommended Ibuprofen syrup), and the problem was resolved. At the age of 9 - 10 years while learning how to ride a bicycle he was involved in an accident which resulted in the fracture of his rt. humerus. Had to use an arm sling pouch and it healed within 2 - 3 months. He recalled that after the accident he was senseless for almost an h

57 year old male vomiting for the past 3.5 months

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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 Ht : 172cms Wt: 55kgs Bmi : 18.6 PAST HISTORY: The patient is a farm laborer and plantation worker by profession. Engaged in wheat, paddy, tobacco, and jute plantation. He is high-tempered which sometimes leads to minor family issues. At the age of 13, had an incident of very high fever with vomiting and rashes for which he was admitted to the hospital. Had to stay in hospital for 7 days. At the age of 21, had an episode of diarrhea which lasted for 7 days, and had to be hospitalized. Started chewing (10 -12 times /day) paan, and areca nut at the age of 22 years. Continuing till date. Started alcohol a