Medical blog by 76. Spandana Patil

 Eassay -1 Heart failure  Essay -2 cirrhosis of liver  Short notes - 10 complications of dialysis  Short note -6 clinical features and diagnosis of peptic ulcer  Short note -4 aetiology of pleural effusion  Short note -5 Diagnosis &Treatment  of Dengue  Short Note 7 Treatment of acute polynephritis  Short note 9 etiology and treatment of pneumonia  Very short notes  12 .Proton pump inhibitors  14.UTI treatment  11 . Ascitis fluid analysis  16. Insulin therapy In DM  17 . Anti hypertensives in CKD  20.hormones secreted by pituitary gland             

  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" Date of Admission- 20-12-21  A 40 year old female presented to OPD with chief complaints of abdominal pain , vomitings 10 episodes at night and loose stools of 4 episodes at night since 2 days.  HISTORY OF PRESENT ILLNESS Patient was apparently asymptomatic 2 days back i.e till 19-21-21 , then on 20-12-21 she developed pain in the lower abdomen colicky in nature. Initially radiating from loin    to groin then non radiating pain confined to lower abdomen. She had vomitings of 10 epi

   A 48 yr Male     ,came to opd with Acute History of Poisoning near godavarigudem , nalgonda History of present illness: The patient was apparently asymptomatic 12 days ago ( i.e on 23 /11/21 ) Then he consumed excess amount of alcohol ( alcohol intoxication) while he was on duty on his field as a farmer . In altered stage he consumed  profenofos  ( 100-150ml ) - An Insecticide. He had 3-4 episodes of    vomitings on 23/11/21.  He was rushed to    Nearby hospital    immediately on 23/11/21    @11 am by his wife . He was given gastric lavage. Pralidoxime and Atropine were administered . He was then shifted to navya hospital    on 23/11/21 where he went into respiratory failure . He was ET intubated on 24/11/21 @4 pm . Pralidoxime, atropine and symptomatic treatment was given . Due to financial concerns he was shifted to our hospital on 25/11/21 insedated stage on mechanical ventilator . Patient was intubated as was diagnosed with    Type 2 Respiratory failure along with Intermediate s

   A 50 yrs Male     ,came to opd with Acute History of Poisoning ( Monocrotophos - insecticide )     History of present illness: The patient was apparently asymptomatic 9 days ago ( i.e on 18/11/21 ) then he consumed the poison , while he was drinking alcohol at night.  He consumed 250 ml And immediately    spitted it out . He was immediately rushed to the nearby hospital in unresponsive condition . CPR was intiated    and continued for 15 mins .  Patient was intubated and kept Under mechanical ventilator    for 4 days    .  He was given gastric lavage there and inotropic supplements . K+ supplements..  Patient was concerned about poor prognosis and due to financial issues he was shifted to our hospital on 22/11/21 . On the day of admission Patient vitals were checked and ET tube was changed    on 23/11/21 tracheostomy was done .  Central line treatment is done .  Past history: No history of chest pain ,Hypertension palpitations ,  no history of diabetes,epilepsy,TB,tyroid disorder.