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bimonthly assessment for November 2020

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Case-1 https://sreejaboga.blogspot.com/2020/11/is-online-e-log-book-to-discuss-our.html?m=1  1) pain in the epigastric region differentials Inferior wall MI(normal ecg and echo) Acute pancreatitis(radiation to the back)-usg finding and elevated serum amylase level Perforated peptic ulcer  Causes of acute pancreatitis- harrison pg no 2348 Gall stones : https://gi.org/topics/gallstone-pancreatitis/ This occurs at the level of the sphincter of Oddi, a round muscle located at the opening of the bile duct into the small intestine. If a stone from the gallbladder should travel down the common bile duct and get stuck at the sphincter, it blocks outflow of all material from the liver and pancreas. This results in inflammation of the pancreas that can be quite severe. 2)sob- acidosis due to renal failure          ? Ards secondary to sepsis/pancreatitis           Pleural effusion due to acute pancreatitis            3)decreased urine output-pre renal Aki secondary to volume loss(oliguric) 3rd sp
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HFREF with severe PAH

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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 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. Case Presentation: 52 year old woman presented to the casualty with the complaints of  Dyspnea on exertion since 4 months Bilateral pedal edema since 4 months Abdominal distension since 4 months Unable to pass flatus since 3 days Passage of hard stools since 3 days She got married to a cook when she was 15 years old. She has 2 children - her son who is 35 years old , works at a hostel and has 4 girls and her daughter is 32 years old and is a housewife. She had to underg
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59year old male with lower limb cellulitis

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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 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. Case presentation: A 59 year old male patient who is shopkeeper by occupation came with chief complaints of  bilateral lower limb swelling since 2months,  Ulceration over right leg since 2months Ulceration over left leg since 10days Swelling of upper limbs since 10days Abdominal distension since 10days  Patient was apparently asymptomatic 2months ago, after which he developed swelling of both lower limbs up-to knee, patient then noticed small blebs over post
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A 30 year old lady with a known case of seizures since 4years.

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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 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. Case presentation: A 30 year old lady who is labourer by occupation came with chief complaints of multiple seizure episodes since 4 years.   Patient was apparently asymptomatic 4years back and then she had an episode of seizure for which she was hospitalised and diagnosed as NCC and is treated with ALBENDAZOLE-400mg LEVIPIL-500mg and OMNACORTIL. She is having on and off seizures from then(yearly once) inspite of regular medication.(LEVIPIL 500mg) Recently LEVIPIL was re
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