General Medicine Case History

  THIS IS AN 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 CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE BASED INPUT  9th February 2022 A 65 YEAR OLD MALE PATIENT PRESNTED TO THE OPD WITH C/O ANURIA SINCE 2 DAYS. HISTORY OF PRESENT ILLNESS: Patient was apparently asymptomatic 15 Yrs back , then patient suddenly fell from toddy tree while climbing ,had history of fracture of femur for  which open reduction and internal fixation (ORIF) was done. Again 10 Yrs back patient had  c/o fall  due to giddiness, then  diagnosed with hypertension and since then on regular medication Patient Has Got Flexion Fixed Deformities 7 Year Back . Stays In Home and stopped Climbing Toddy Trees . Patient came with the chief complaint of Anuria sin

  THIS IS AN 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 CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE BASED INPUT  February 9th 2022 A 13 year old female came to OPD with complaints of abdominal pain since 2 days associated with two episodes of vomiting. HISTORY OF PRESENTING ILLNESS - Patient was apparently asymptomatic 2 days ago then developed epigastric pain on radiation, moderate severity and gradually progressive, non radiating 2 episodes of vomiting since 2 days with food as content and non bilious non projectile no relation to feeds PAST HISTORY -  K/C/O of sickle cell anaemia since 2012  History of sickle cell crisis 2016  History of pancreatitis 2019 Last blood transfusion 2020 PERSONAL HISTORY: Diet- mixed   Ap