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Showing posts from August, 2022

36 yr old female with severe joint pain and pitting edema

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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 HISTORY: The patient is a 36 yrs old housewife.  Since childhood, she has had a history of falling sick with mild fever, cough, and cold with a headache. Symptoms would last for 2-3 days and resolve with allopathic medicines. This used to happen 1-2 times/yr, especially during winter.  5-7 yrs ago, she c/o dry cough lasting for 1 wk to 10 days almost every month. 4-5 yrs ago, she c/o of itchy skin (pruritic rashes) which stayed for 1-2 days and went away after taking medicines. 1 yr ago, one day she c/o lightheadedness and blurry vision. Dr. diagnosed the symptoms to be due to HTN. Is using medi

A 57 yr old female with c/o bloatedness, chest tightness and HTN

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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 HISTORY: Pt. is a 57 yrs old female. She was a singing teacher, by profession. Till the age of 57 yrs, she was completely fine. Would prefer walking rather than using transport for short distances. Lead an active lifestyle and did a lot of tuition. 18-20 yrs ago, she participated in a walking competition. 2-3 days later, she c/o of dizziness, blurred vision, and almost fainted. She was rushed to the doctor who diagnosed her BP as very high. No medicine was prescribed. In 2007 i.e 1-2 yrs later, she started c/o pain in the upper rt abdomen. The pain would be sudden and not very intense and also t