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Showing posts from June, 2022
A 60 yr old housewife with h/o Hypocalcemia, Hypokalemia and renal stone complaining of developing nearsightedness
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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 PATIENT'S HISTORY: The patient is a 60-year-old housewife. In 2013, she had an episode of probable stroke followed by nausea, vomiting, diarrhea, weakness, fatigue with loss of appetite, and insomnia. Her legs felt numb. She lost sensation around neck. Had to be admitted to a nursing home. Diagnosis of hypocalcemia and hypokalemia was made. Got discharged after 5 days when k+ and Ca2+ lvl. returned to normal via i.v infusion. For 2 yrs she was fine. In 2015, due to diarrhea and fatigue she got admitted to a Nursing home and stayed there for 7 days. Ca2+ and K+ lvl. was falling, so restored via i.v
A 74 yr old man having episodes of seizures, feeling feverish with extreme weakness
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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 HISTORY: A 74-year-old man who was a school teacher by profession. When he was a student in class 8-9, he used to suffer from acidity and dysentery. He had a few episodes of non-itchy skin rashes that used to appear on his legs during summer. There were calluses on his feet. He did homeopathy treatment for approx. 1 year which resolved all his problems. Since he belonged to a family of farmers, at that time he used to help in winnowing and threshing wheat and paddy. He was very active and used to play football and also did yoga. Due to peer pressure, he started smoking bidis (7-8day) and sometimes cigare