57 yr old male Acute GE with pyrexia under evaluation








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 patient's clinical problems with collective current best evidence based inputs. 

This E log book also reflects my patient-centered online learning portfolio and your valuable inputs on the comment box is welcome.

Here is a case i have seen: A 57 yr old male patient came with c/o fever since 12 days 
C/o pain in the epigastric region since 10 days 
Patient was apparently asymptomatic 12 days back which was insidious in onset high grade intermittent associated with chills for 4 days fever free period for 3 days 
He developed fever high grade associated with chills releived on medication 
H/o pain in epigastrium ,h/o vomiting 4 days back for 1 day 
5 episodes -contains food particles non foul smelling non bilious 
H/o loose stools 4 days back -4 episodes 
K/c/o DM since 5 years on metformin 500 mg 
Not k/c/o HTN ,asthama,epilepsy ,TB
General examination 
Patient is conscious coherent coperative 
Temp -103 F
PR-98bpm
RR- 20 cpm 
Bp-110/70 MMhg 
Spo2 -98%@RA
GRBS - 169mg%
Cvs -s1s2 +
Respiratory system -BAE+
P/A-soft non tender 









 


Comments

Post a Comment

Popular posts from this blog

A 23 year old male with thrombocytopenia with umbilical hernia

Image
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 patient's clinical problems with collective current best evidence based inputs.  This E log book also reflects my patient-centered online learning portfolio and your valuable inputs on the comment box is welcome. Here is a case i have seen:  A 23 yr old male came with  c/o fever since 2 days  c/o generalized body ache since 2days pt had swelling above the umbilicus since 2 years  HOPI-pt was apparently asymptomatic 2days back then he developed fever which is sudden in onset gradually progressive ,relieved on medication, continuous type  associated with chills and lower back ache  no H/o headache ,retrorbital pain ,rashes ,burning micturition,cold,cough, general examination patie
Read more

48 year old female with heart failure

Image
 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 patient's clinical problems with collective current best evidence based inputs.  This E log book also reflects my patient-centered online learning portfolio and your valuable inputs on the comment box is welcome. Here is a case i have seen:A 48 year old female came with c/o Sob since 7 days grade 2 ,exertional + pain in the left infrascapular region since 7 days ,H/o weight loss  Patient was apparently asymptomatic 7 days back then developed sob which was gradual progressive grade 2 relieved with medication and patient also had a pain in the left infrascapular region 7 days back which was releived with medication  No h/o fever ,loose stools ,burning micturition  K/c/o TB since
Read more

February bimonthly exam

FEBRUARY BIMONTHLY EXAM Questions: Q.1) Please go through the patient data in the links below and answer the following questions: 50 year man, he presented with the complaints of Frequently walking into objects along with frequent falls since 1.5 years Drooping of eyelids since 1.5 years Involuntary movements of hands since 1.5 years  Talking to self since 1.5 years  More here: https://archanareddy07.blogspot.com/2021/02/50m-with-parkinsonism.html?m=1 Case presentation links:  https://youtu.be/kMrD662wRIQ a). What is the problem representation of this patient and what is the anatomical localization for his current problem based on the clinical findings? problem presentation: drooping of eyelids since 8 to 9 months refractory to treatment involuntary movements of bilateral upper limbs frequent episodes of fatigue since one year thin stream of urine with bed wetting since one year according to attenders  change in behavior (talking to self) since 1.5 years anatomical localisation of lesi
Read more