Posts

Showing posts from October, 2022

59 yr old female with epigastric pain, bleeding pr, and hypothyroidism

Image
 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 59 yr old female, a school teacher by profession. At the age of 9-10 yrs, diagnosed with typhoid fever. For 2 days was not able to see through eyes. After recovery became right. At the age of 12, she suffered from jaundice, which resolved within a month. But since then c/o abd bloating, indigestion, vomiting (especially after eating food or drinking milk), alternate symptoms of diarrhea and constipation, and epigastric burning sensation which would resolve on its own. At age of 16-17 yrs (48kgs), she noticed whenever she drinks milk at night, at midnight she would vomit. Becom

16 yr old girl with c/o pelvic pain

Image
 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 16 yr old school-going girl. Since birth pt's hands are always very sweaty and warm. When in class 3 injured rt hand due to an electric shock. Took 1 month to recover. During the same time got bitten by a dog, anti-rabies vaccine was given, Since 6 yrs old, pt used to go dancing school. When dancing for long or doing hard moves she c/o intense stabbing pain in her left lower abd which lasted for 2-3 hrs. Later pain used to occur even without dancing. Till class 9 did not receive any treatment as such.  While in class 9, pt also started c/o diffused abd pain after a meal or

30F with back pain

Image
  PATIENT HISTORY: Pt is a 30 yr old female homemaker, who also worked as a plantation laborer ( tobacco, potato farming) from 2015 -16 extensively and for the past 2 yrs. For the past 6 months didn't work as a laborer because of her body pain. From 2008, since menarche, her menstrual cycles were always accompanied by dysmenorrhea and menorrhagia (lasted for 9 days, each day needed 4-5 sanitary pads). Sometimes so severe pain that she would vomit and also experienced palpitation.  Along with that she also c/o a white smelly discharge accompanied by pain in the pelvis and a feeling of hot burning sensation. The discharge used to last for at least 20 days/month. In 2014, after a local Dr. gave her medicine only her pain (that was felt during white discharge) subsided. In 2019, with medications, her condition improved. At present, only 1-2 / month c/o pelvic pain and burning sensation, with scanty white discharge. She got pregnant and first child delivery via C-section in 2014 Around

52M with chest pain, bleeding p/r

Image
 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 52 yr old male working as a shoe seller. Needs to sit in a chair or sometimes on the floor for a long time. 21 years ago, got involved in an accident (his cycle collided with a motorcycle). He fell down and had a hairline fracture in his hip jt. He got treated by a local Dr and with medicines, bed rest, and physiotherapy he got cured. After that no more pain. But he c/o after recovery he walks a bit inclined towards the left side), no weakness in legs as such. Within a month of this incident, he started c/o constipation (2 days no defecation at all, on third-day defecation in l