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  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  40 year old female WITH   urethra stricture under evaluation CASE HISTORY A 40 year old female , house wife ,CAME from west bengal WITH  CHEIF COMPLAINTS OF - dysuria decreased frequency of urination post void urinary retention and slow urine stream since 6 months burning micturition since 5 months dysperunia since 4 months loin and lower back pain since 1 month HISTORY OF PRESENTING ILLNESS -   patient was apparently asymptomatic 6 month back then developed dysuria which was insidious in onset gradually progressive associated with burning micturation retention of urine and lower abdomen pain and distension
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 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  85 year old female WITH Altered sensorium under evaluation  Hypoalbuminemia Anaemia under evaluation secondary to nutritional cause Denovo dm and dcmp - CASE HISTORY A 85 year old female , home stayer BY OCCUPATION ,CAME TO THE casualty WITH  CHEIF COMPLAINTS OF - decreased sensorium since 4 days Complains of Bowel and bladder incontinence since 4 days patient was apparently asymptomatic 4 days back ago then he had history of irrelevant talks with her daughter at around 9:30 p.m. after dinner 4 days back attenders thought it was due to her age next day morning patient got from bed had breakfast and at aro
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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   36 YEARS OLD MALE WITH acute pancreatitis with alcohol dependence - CASE HISTORY A  36 YEAR OLD MALE , driver BY OCCUPATION ,CAME TO THE casualty WITH  The case was driver in police department under rajakonda commistrate he worked as driver to asst commissioner of law and order division he used to work 24 hour shifts followed by of day of 24 hour period while on duty days he didn't used to drink  He previously had 2 episode of accident in past after drinking episode  1 st episode 10 years back after he drink at friend wedding while returning to home tossed of from bike over speed breaker and had bleeding
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general medicine

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GENERAL MEDICINE 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  DECEMBER 2 2021  28 YEARS OLD MALE WITH URAEMIC SEIZURES  CKD ON MHD WITH K/C/O HTN - case history a 28 year old male , sales man in clothing store by occupation ,came to the opd with  cheif complaints of - presented to casualty with h/o seizures since yesterday night h/o seizures 3 episodes around 3 am,7am,11am each episode lasting for 3 -5 minutes associated with unrolling of eyeballs +,frothing from mouth+,no tongue bite -, no involuntary micturation-,no involuntary defecation-,no ictal cry -,followed by post ictal confusion lasting for 15 - 20 minutes  history of presenting illness - patien
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