A 23 year old male with thrombocytopenia with umbilical hernia





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
patient was conscious coherent cooperative 
vitals 
bp 110/70mmHg
PR-87bpm
RR-17cpm
Spo2-99%
systemic examination 
cvs-s1,s2+,
Rs-BAE+,NVBS+
P/A -soft ,non tender,no rigidity
CNS-NAD






DIAGNOSIS-Thrombocytopenia with supra umbilical Hernia
Treatment 
IVF-1NS ,1RL,1DNS 
Plenty of oral fluids 
Inj optineuron 1 amp IV in 100 ml
Inj zofer 4 mg /IV /sos

Comments

Post a Comment

Popular posts from this blog

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

Bimonthly exam March 2021

Image
patient data in the links below and answer the following questions: https://ashakiran923.blogspot.com/2021/03/60-years-old-male-fever-under-evaluation.html?m=1 a). What is the problem representation of this patient and what is the anatomical localization for his current problem based on the clinical findings?How specific is his dilated superficial Abdominal vein in making diagnosis? -Based on the clinical symptoms and signs, the clinical diagnosis of the patient can be-  UTI with cirrhosis of liver with portal hypertension.  b) What is the etiology of the current problem and how would you as a member of the treating team arrive at a diagnosis? What is the cause of his hypoalbuminemia?Why is the SAAG low? -The etiology of the disease in this patient could be a chronic history of alcoholism. Chronic smoking leading to his apthous ulcers.  Based on his clinical finding there could be portal hypertension which could have been preceeded by cirrhosis of liver which might have been caused due
Read more