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Showing posts from June, 2022

A case of gastroenteritis in an HIV positive patient

 This is an online E-log entry blog to discuss and understand the clinical data analysis of a patient, to develop competency in comprehending clinical problems, and providing evidence- based inputs in order to come up with a diagnosis and effective treatment plan to the best of my ability. A 60 year old female who is a resident of Narsimpeta and an agricultural labourer was brought to the casualty with chief complaints of multiple episodes of loose stools and vomiting with fever for the past 10 days. History of presenting illness  May,2022 : The patient experienced a significant loss in weight that was noticed by herself and her daughter that started sometime during the month of May. She complains of a change in the size of her clothes and says that they are all now loose. May 2nd,2022 : Starting this day and for the next 22 days, the patient consumed 1 bottle of Toddy each day that she shared with her granddaughter. She diluted the toddy with water before consumption. June 1st ,2022 :

46 year old female with a sudden distension of the abdomen

 This is an online E-log entry blog to discuss and understand the clinical data analysis of a patient, to develop competency in comprehending clinical problems, and providing evidence- based inputs in order to come up with a diagnosis and effective treatment plan to the best of my ability. A 46 year old female who is a resident of Chintakunta and an agricultural labourer by occupation was brought to the casualty with chief complaints of sudden distension of abdomen and difficulty in breathing since 1 week. History of presenting illness  2014 : The patient started experiencing pain in both her knee joints along with restricted mobility. She says it was starting then that she couldn't sit from a standing position or stand from a sitting position with ease anymore. 2021 : The patient was apparently asymptomatic 1 year back when she developed dyspepsia for which she was prescribed some PPIs which she started using on and off to treat her symptoms. The patient says she has developed an