42/F with SOB




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20100006005 LONG CASE

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  This is an online e logbook to discuss our patients deidentified health data shared after taking her/guardian's signed informed consent Here we discuss our individual patient 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 This E log also reflects my patient centre’s online learning portfolio and valuable inputs on the comment box is welcome. CASE : 21 year old woman, working as a nurse in an outside hospital, residing at Nalgonda presented to casualty on 26/8/2021 with the chief complaints of Fever since 4 months  Generalized weakness since 4 months Cough since 1 month  Vomitings 2 episodes since 1 day  Unable to walk since 1 day Unable to pass urine and stool since 1 day H/O PRESENTING ILLNESS She was born out of a non consanguinous marriage. She cried immediately after birth.  At birth - she was in the hospital for 2 -...
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50/Male came with altered sensorium

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50/Male who is a resident of choutuppal Daily wage labourer by occupation Came with cheif complaints of  Fever since 10 days Facial puffiness and periorbital edema since 4 days  Weakness of right upper limb and lower limb since 4 days Altered sensorium since 2 days History of present illness: Patient was apparently asymptomatic 3 years back and went to local hospital in/v/o Regular checkup and came to diagnosed with Hypertension since then he was on regulate medication...  And on 18/04/21 He went to local PHC for COVID 19 vaccination.. Since that night patient is complaining of Fever associated with chills and rigors, high grade fever, no diurnal variation which was relieved on medication...  No c/o cold and cough Followed by patient is having similar complaints after three days and he visited local hospital which is not subsided by medication ( Antipyretics) ( not taken medication such as steroids, oxygen therapy, anti virals)  On 28/04/21 , c/o Generalized wea...
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VINAY DISSERTATION REVIEW

Project Title :   MICROVASCULAR AND MACROVASCULAR COMPLICATIONS IN TYPE 2 DIABETES MELLITUS. Need for study :  Diabetes Mellitus is a group of metabolic  diseases characterized by chronic hyperglycemia associated with disturbances of carbohydrate, fat and protein metabolism due to absolute or relative deficiency in insulin secretion and/or action. Diabetes causes long term  damage, dysfunction and failure of various organs; especially the eyes, kidneys, nerves, heart and blood vessels. In a nutshell diabetes is appropriately described as  a “Metabolic cum Vascular disorder” The  micro-vascular complications of both Type  1 and Type 2 DM  result from chronic hyperglycemia. Since  type 2 DM often has a long  asymptomatic period of hyperglycemia, many individuals with Type  2 DM have  complications at the time of diagnosis. To understand whether microvascular complications distinctly precede macrovascular complications or do ...
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