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Showing posts from February, 2023

9 yrs old female w/c/o stuffy nose

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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 9 yrs old female Till the age of 6-7 yrs, she c/o constipation (2 days no defecation), passing very hard stool. Dr prescribed high fibre diet taking which normalised her bowel movement.  At that time only, she also used to c/o digestive issues (acid reflux, sour burps, sour aftertaste, foul smell from mouth) on eating something fried, oily and spicy. Now the frequency has decreased a lot after starting high fibre diet and taking lot of water. Since childhood, she used to suffer often from cough and cold (nasal congestion and dry cough), would last for 8-10 days, happeni...

49 yrs old female w/c/o whole abdomen burning sensation

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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 49 yrs old female, homemaker. Since childhood, pt c/o constipation (passing normal stool after 2-3 days). Doing Ayurvedic syrup causes relief. In the year 2003, pt c/o of her whole body edematous, pitting edema noted, acute insomnia, malaise. Dr found her TSH level high and diagnosed her with Hypothyroidism. Took medication and follow-up reports showed TSH normal. At that time, wt was 75 kgs (now 62 kgs). In 2008, she c/o insomnia, a burning sensation in the sole of her feet, along with gastric problems (whole abd burning sensation, bloated abd, incomplete defecation), and i...

45 yrs female with fatty liver

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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 45 yrs old female, a housewife but working as a teacher for an NGO. When in primary school (aged 9-10 yrs) suffered from UTI (burning micturition, high fever). When 10 yrs old, suffered from jaundice. 1-month bed rest. Since childhood often suffered from cough, cold, and fever. From age of 19-20 yrs, suffers from migraine attacks 2-3 times/month. Paracetamol with sleep provides relief. When aged 30 yrs, she noticed a lump in her left breast. At that time no pain. Dr diagnosed it to be a benign tumor. For the past 2-3 yrs, after eating immediately needs to go to the washroom. Pa...

49 yrs old male with involuntary head movement

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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:  Biological component: Pt is a 49 yrs old male, who used to run his own business of distributorship of cosmetic products, before finally shutting down business in 2016. Till graduation he was alright. In 1998, met with an RTA, and suffered from hip and pelvic #. He took 2 months of complete bed rest. Then returned to normal life. At that time his older brother took care of him. In 2000, one day while watching TV in the club room, he felt the back of his neck and head getting stiff along with the involuntary movement of his head in a "no-no" fashion (at first only visible on c...

62 yrs old male w/c/o SOB, lower back pain

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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 62 yrs old male, a forest ranger (retired) Pt belonged to a very humble family and lived in a village during his childhood days. At the age of 15-16 yrs, used to c/o indigestion, acidity, and epigastric burning sensation sometimes. Dr. prescribed medication, which provided relief.  Around the same age, one day while passing stool in an open field, he noticed his stool color is black. After defecation, he stood up to fetch water and felt lightheadedness and as if he will faint. He was falling, but his friend caught him in the nick of time. In 2002, suffered from malignant mala...