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29 year old male diagnosed with acute on chronic pancreatitis

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 series of inputs from an available global online community of experts with an aim to solve those patients clinical problems with collective current best evidence based inputs   A 29 yr old male patient came to the opd with cheif complaints  of  Pain abdomen since 3 days associated  with tightness of abdomen Vomitings since 3 days .  HOPI Patient is apparently asymptomatic  3 days back then he developed  pain abdome associated  with tightness of abdomen   Vomitings  which is non projectile and non bilious.  No H/o of fever, body pains , headache ,diarrhea H/o of outside consumption of food 2 days back PAST H/O K/c/o pancreatitis  2018,2020 -2 episodes  Not a k/c/o diabetes ,HTN, TB,asthama,cvd , epilepsy. PERSONAL H/o diet - mixed Apetite - normal Bowel ,bladder movements - regular Sleep -
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60 year old female diabetic ketoacidosis case

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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 series of inputs from an available global online community of experts with an aim to solve those patients clinical problems with collective current best evidence based inputs  60-year female came to the opd with complaints of pain in the right side of chest since 2 days, shortness of breath since today evening , low-grade fever since 2 days back, headache since 2 days , generalized body pains since 3 days, and mild pedal edema since 1 year HOPI:- the patient was apparently asymptomatic 3 days back, then developed chest pain, which was on the right side, nonprogressive, relieved by sitting position, right lateral position, and associated with headache, generalized weakness, shortness of breath on exertion. PAST HISTORY -  h/o DM, HTN  ,  no h/o  asthma  CAD,TB or any surgeries. PERSONAL  d
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50 year old female diagnosed with covid 19 pneumonia

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This is online E log book 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 series of inputs from available global online community of experts with an aim to solve those patients clinical problems with collective current best evidence based inputs 50 year old female came to the opd with the chief complains of fever since 8 days and was tested positive for covid-19 3 days back. HOPI:- patient was apparently asymptomatic 8 days back then she developed fever. she had no history of shortness of breath, cough, fatigue, loss of smell or taste. she was tested positive for covid-19 3 days back and was admitted into the hospital. after she got admitted into the hospital she presented with complaints of oxygen saturations fluctuating between 86%-92%. no h/o of DM, HTN, asthma, CAD,TB or any surgeries. diet-mixed, appetite -normal, B&B- regular, sleep- adequate. no h/o of
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FINAL YEAR MBBS SHORT CASE - GENERAL MEDICINE (1601006040).

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I'm a final year medical undergraduate bearing the hall ticket number-1601006040. I've been allotted with this following de-identified case to present on the day of the final practical exam, so I've contacted the patient and took the verbal consent to take the history and to examine the patient.   This E log also reflects my patient center’s online learning portfolio and valuable inputs on the comment box are welcome . here are the few incites which I have noticed A 46yr old female, housewife resident of Nalgonda came to the hospital with chief complaints of shortness of breath since 5days  History of present illness   She was apparently asymptomatic 5days back then she developed shortness of breath which was insidious in onset, gradually progressive, aggravated on lying down, and relieved on medication. Associated with orthopnea, wheeze, paroxysmal nocturnal dyspnea  Anasarca since 5days and cough with expectoration since 5days which is insidious in onset Past history K/c/
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FINAL YEAR MBBS PRACTICAL - LONG CASE (1601006040)

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  28 YEAR OLD MALE PATIENT WITH COMPLAINTS OF SHORTNESS OF BREATH , SWELLING OF LEGS AND DISTENDED ABDOMEN APRIL 26,2021 Hello everyone, I'm a final year medical undergraduate bearing the hallticket number-1601006040. I've been allotted with this following de-identified case to present on the day of final practical exam, so I've contacted the patient and took the verbal consent to take the history and to examine the patient.   here are the few incites which i have noticed CHIEF COMPLAINTS : 29 year old male unmarried who is a daily wage labourer resident of Nalgonda, came to hospital with  chief complaints of  on & off fever since 2 yrs , shortness of breath , b/l pedal edema , abdominal distension and decreased urine output since 1 year HISTORY OF PRESENTING ILLNESS :  Patient was apparently asymptomatic 2years ago and then one day he developed  fever  (high grade , continuous , associated with chills & rigors) and  generalized body aches  for which he went to a lo
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42 YEAR OLD WOMAN WITH MULTIPLE HEALTH EVENTS SINCE BIRTH

Hello everyone , this is Rahul and I'm a 4th year medical undergraduate .we've been allotted with the following de-identified open online patient record,regarding this case you can find the information in the link given below.  https://classworkdecjan.blogspot.com/2019/05/42-f-with-severe-regular-edema-with_17.html?m=1 following are some of the problems which i noticed and tried to list them in the order of priority: 1)frequent migraine attacks which are very severe and often associated with  intensified AURA. 2)vision loss and even the LASIK was failed and not able to correct the vision. 3)breathing difficulties 4)swelling of face and abdomen 5)difficulty during sleep 6)poor stress tolerance 7) left jaw pain and according to her genetic reports she was diagnosed with multiple genetic defects, the most important being the G6PD deficiency. and others are  AMPD1 - AMPD1 deficiency heterozygous MTHFR - homozygous for C677T of MTHFR = 10-20% efficiency in processing folic acid = hi
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