GM Cases

  CASE OF ALTERED SENSORIUM SECONDARY TO DKA. 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  A 50 year male farmer ,manual labourer,brought to casualty with h/o altered sensorium since 1 day H/o fever since 4 days. HISTORY OF PRESENTING ILLNESS - Patient was apparently asymptomatic 4 days ago,then he developed fever which is high grade,No diurnal variation, associated with chills. No h/o cough and GE symptoms.  Attenders tells h/o stoppage of OHA for 3days, h/o decreased intake of food as he has fever. H/o altered sensorium since 1 day. Irrelevant talk,not recognising attenders since this morning . Able to move all four limbs,No h/o vomitings, head ache, se

1. Define Heart fire. Etiology And Clinical features of heart failure? How do we diagnose heart failure clinically, Physical examination and various modalities wird in diagnosis of heart failure.Write a brief note of treatment of heart failure  2 Define Cirrhosis of liver. Eliopathogists of c. Write a brief note on clinical features, diagnosis and treatment of cinthosis of liver. 3. Elaborate on Clinical features and diagnostic modalities in diagnosis of Renal calculi 4 Etiology of Pleural effusion. Diagnostic criteria of pleural effusion. 5. Diagnosis and Treatment of Dengue Fever. 8. Treatment of Abdominal Tuberculosis. 9. Etiology and Treatment of Pneumonia 10. Complications of Dialysis. 11. Ascitic Fluid Analysis 12. Proton pump inhibitors 14. Treatment of urinary tract infection 15. Differential diagnosis of "Fever with Rash". 16. Insulin therapy in diabetes mellitus. 17. Antihypertensive drugs in Chronic Renal Failure. 19. Criteria for diagnosing Infective Endocarditis.

 This is an online e-log book to discuss our patient's de-identified health data shared after taking his/her/guardian's 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. CHIEF COMPLAINT- A 17 years old female came to OPD with a chief complaint of weakness in the upper and lower limb since 4days. Tingling and numbness in the palms and soles since 4 days. HISTORY OF PRESENT ILLNESS - The patient was asymptomatic 4 days back  then she has sudden onset of pain in the calf muscles since 4 days followed by unable to stand from sitting position. Able to roll on bed. No history of fever,loose stools, vomitings. HISTORY OF PAST ILLNESS- Not a known case of DM, Epilepsy, HTN Asthma, TB. PERSONAL HISTORY- Diet- mixed  Appatite- normal. Bowel movement- regular. Mituration- decreased si