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Showing posts from September, 2022

40 yr old man c/o left loin pain with history of renal stone and hydronephrosis

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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 40 yr old male, by profession Grocery shop owner. Till 2011, he claimed to be feeling alright. In 2012, he started c/o slight pain in the left loin region (continuous) with gradual swelling of the left side of the abdomen which was more prominent when he lay down. His urine output was low. After staying like that for 1.5 months he visited a Dr. Test confirmed hydronephrosis due to left renal calculi. Sx was done after 7 days. His symptoms resolved after Sx. For 5 yrs he claimed to be feeling alright. In 2017, one day he noticed pain in the left loin region (first 1 hr s...

53 yr old female with uncontrolled abrupt movements of fingers and toes

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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 53 yr old female, a school teacher by profession. She was completely alright 7 yrs ago.  For the past 5-7 yrs, she started noticing uncontrolled movements of her fingers toes, and sometimes lips associated with no other symptoms (such as loss of sensation, weakness in grip strength, etc). With time it is becoming more severe (at present, each episode lasts for 10-15 mins, 2-3 times/day; throughout the day, not during sleep). She also c/o her fingers and toes feeling cold and sudden profuse sweating. To date, she had fallen 3 times while getting on a bus (lost balance suddenly, b...

65 yr old male with relapse of fistula in ano

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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 65 yr old male, working as an academician.  At the age of 2 yrs, fractured his hand(right or left cannot remember) which was healed by a village Dr. Had no complaints about it afterward. At the age of 12, had a history of chicken pox. Pt reported that he believes since he belonged to a humble family background he did not receive adequate nutritive foods, so his immunity and digestive system is not strong. Hence, during his childhood days used to suffer from frequent episodes of fever lasting for 5-6 days sometimes with cough and cold. In his early childhood days, c/o GI probl...