Posts

Showing posts from October, 2022

26/F G4P1L1A2 ?ITP

Image
This is an online E log book to discuss our patient's de-identified health data shared after taking 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 also reflects my patient-centered online learning portfolio and your valuable inputs in the comment box are welcome. Case : 26year female came to casualty as she was referred from outside hospital in view of thrombocytopenia in pregnancy  No previous comorbidities HOPI: 1st pregnancy P1L1 ,5yrs male child ,LSCS in view of PROM 2nd pregnancy in view of bleeding PV visited hospital at 1 and half month Gestation--threatened abortion 3rd pregnancy - Spontaneous abortion,went to hospital for regular check up and was told to have absent Fetal heart sounds and was given Medication for MTP After 1yea...

Intern Online General Medicine Assessment

Image
Anigani Kavya Roll no: 12 My learning experience : During ICU : 12.8.22 to 17.8.22 1.Learnt CPR 2.Assisted For intubation for  - ICU bed 2- 40year old male (CKD patient) - ICU bed 1 (56 year old.female) - ICU bed 2 (70 year old male) 3. Have taken ABG samples ( femoral, radial ) in both ICU and AMC During ward duty and nephro duty: 18.8.22 to 26.9.22 Monitoring patients  Took venous samples for investigations  During casuality duty: Have taken throat and nasal swabs for rapid and RTPCR covid tests During Unit: - Did ascitic tap for ICU bed 5 - Have assisted in performing central line on 2.10.22 icu bed 4 Case 1 https://aniganikavya06.blogspot.com/2022/10/55year-old-male-with-decreased-urinr.html Question: 1. Causes of AKI Ans-  2. Absolute and relative indications of dialysis Ans-  Case 2: https://aniganikavya06.blogspot.com/2022/10/this-is-online-e-log-book-to-discuss.html Questions: 1. Findings in favour to ITP in this patient Ans - Patient has petechiae ...

55year old male with decreased urine output and pedal edema

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 patients clinical problems with collective current based inputs. A 55 year old male came to the casuality with cheif complaints of Cheif complaints: -decreased urine output since 3days - pedal edema and Upper limb edema since 3days - fever since 1day History of presenting illness : Patient was apparently asymptomatic 3days ago, later he developed pedal edema, Upper limb edema decreased urine output since 3days. Fever since 1day, low grade not associated with chills and rigors No c/o burning micturition, vomitings, loose stools, cough, SOB, cold No c/o rashes, mosquito bites No c/o generalised body pains or myalgia Past history: K/c/o DM since 10yrs  K/c/o HTN since 2yrs H/o Pulmonar...