Posts

15 year old boy with chest pain and dyspnea

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 PAST HISTORY: Pt is a 15-year-old boy, studying in class 10. At the age of 8 - 9 yrs, he used to have nonspontaneous whole body/jt. pain and aches (2 - 3 episodes every day), pain in the lower back, sometimes accompanied by fever; for which he got treated by a Clinician (recommended Ibuprofen syrup), and the problem was resolved. At the age of 9 - 10 years while learning how to ride a bicycle he was involved in an accident which resulted in the fracture of his rt. humerus. Had to use an arm sling pouch and it healed within 2 - 3 months. He recalled that after the accident he was senseless for almost an h...

57 year old male vomiting for the past 3.5 months

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 Ht : 172cms Wt: 55kgs Bmi : 18.6 PAST HISTORY: The patient is a farm laborer and plantation worker by profession. Engaged in wheat, paddy, tobacco, and jute plantation. He is high-tempered which sometimes leads to minor family issues. At the age of 13, had an incident of very high fever with vomiting and rashes for which he was admitted to the hospital. Had to stay in hospital for 7 days. At the age of 21, had an episode of diarrhea which lasted for 7 days, and had to be hospitalized. Started chewing (10 -12 times /day) paan, and areca nut at the age of 22 years. Continuing till date. Started alcohol a...

62 yr old man with severe chest 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 Age: 62 Gender: Male Weight: 46.7 kg Occupation: Is farming labor by profession(wheat and paddy plantation). In between used to play drums in Yatra 12 years ago.  PAST HISTORY: 2 years ago, one day he noticed blood with the stool of around 100ml. From that day onwards he says blood comes out with his stool for around 10-15 days continuously then stops for 15 days. This cycle goes on and is still continuing. He feels no itchiness or splinter hemorrhagic pain during defaecation. In the year 2019, he had an episode of fever which lasted for 7 days. A local Clinician advised a blood test and diabetes was det...

45 year old man with knee joint 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. PAST HISTORY: The patient is a 48 yrs old male, who is a grocery shop owner by profession.  He heard from his parents that at the age of less than 1 yr he had an allergic reaction due to an unknown etiology. Had rashes, and sneezing. They took him to a village quark and on his advice used to keep him wrapped in banana leaves and fed him some herbal medicine. He recovered within a few months.  In 1992 at the age of 17 yrs, again allergic reaction due to an unknown etiology. Had severe rash, ?blisters, or lesions on hand and legs with an itchy sensation. Was given an injection in the gluteal region. aft...