M.Prashanth Sharma

Posts

34 years old female witth recurrent vomitings

December 17, 2021

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. A 34-year-old female patient Present it to casualty with complaints of vomiting since three days associated with giddiness And generalised weakness BP was 60 MMHG systolic on presentation with 1L IV bolus BP increase to 110/60 MMHG 34 yrs old female ,daily labourer by occupation, resident of Choutuppal got married at 15 years of age has three children Patient was apparently alright six months ago then she had complains of recurrent episodes of vomiting 2-3 episodes per day contain

Case of 50 yra old male with complaints of SOB since 10 days

December 16, 2021

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. 50 years Years old male came to OPD with cheif complaints of shortness of breath since 10 days. Complaints of decreased urine output,nausea,B/L pedal edema and constipation since 10 days. Patient was aparently asymptomatic 15 years back, then developed B/L pedal edema , shortness of breath and was brought to our hospital 1 session of HD done.Patient was diagnosed with CKD 15 years back and was treated conservatively(on and off). Now again 10 days back he came to OPD. Past History :

48 years old male with abdominal distension and b/l pedal edema since 3 months

November 19, 2021

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. A 48 year old male,farmer by occupation, resident of narketpally came to casualty with c/o b/l pedal edema since 3 months, abdominal distension since 3 months. Patient was apparently asymptomatic 10 years ago following which his son had depression in his 10th grade due to which pt underwent depression and got addicted to alcohol.9 years back he had severe depression and committed suicide by swallowing poison and admitted in KIMS,NKP and got treated and diagonosed with DM 8 years ag

A case of 39 year old male

November 18, 2021

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. 39yrs od male came with complaints of pain abdomen since 4 days.complaints of increased frequency of urination with burning micturition since 4 days,fever since 4 days. Patient was apparently asymptomatic 3 yrs back then he went to a hospital with complaonts of increased frequency of urination and diagnosed to be as Type2 diabetes mellitus(and started on OHD's),he was on regular followup.Since 1 month he is on routine checkup.Had uncontrolled sugars >300.Now presented with co

46 years old female pt with viral pyrexia

November 07, 2021

C/O fever since 2 days Dry cough since 1 day HOPI: Patient was apparently assymptomatic 2 days ago,then she developed high grade fever with chills , intermittent , relieving with Medication associated with generalized body pains,nausea Not associated with vomiting ,loose stools No h/o burning micturition ,sob,wheeze Not a k/c/o DM,HTN,CAD,CVA PERSONAL HISTORY: Diet:mixed Appetite:normal Bowel nd bladder : regular No addictions No significant family history O/E Pt C/C/C moderately built No pallor,Icterus,cyanosis, clubbing, lymphaedonopathy, edema Vitals on admission: Temp:98° F PR:108 BPM BP:90/60 MMHG RR:18 CPM SPO2: 98@ ROOM AIR CNS: S1S2 HEARD RS: BAE + ,NVBS CNS:NAD P/A: SOFT,NON TENDER Bowel sounds - present Diagnosis: VIRAL PYREXIA

case of 45 years old man

November 03, 2021

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. A 45 year old man presented to the casualty on 2/11/21 with the complaints of Fever since 4 days Body pains since 4 days Reduced urine output since 3 days Vomiting yesterday Hematuria since morning Black tarry stools since morning High grade fever, intermittent,not associated with chills and rigors . 2 episodes of non projectile, non bilious, blood tinged vomiting yesterday He was taken to an outside hospital where in he received fluids and later the attenders decided to pay a