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GM

  Anatomical diagnosis -? Glomerulosclerosis                                                                        Etiological diagnosis -  ? Nephrotic syndrome secondary to diabetic nephropathy/ CKD.     2)Reasons for  I)Azotemia : impaired renal excretion of urea and creatinine secondary to CKD.  II) Anemia : decreased erythropoietin.  III) Hypoalbunemia:due to damage to capillary basement membrane and podocytes.  IV)  acidosis: acidification of urine is lost.                                       3) Rationale : syrup potchlor was given to correct hypokalemia. Inj. NaHCO3 was given for metabolic acidosis.Insulin and antihypertensives are given because of known case of DM and HTN. T.Orofer XT was administered to treat anemia.. Inj. Lasix was given to decrease her volume overload. Spironolactone was given as it is a potassium sparing diuretic.Calcium was given to the patient  because of hypocalcemia secondary to CKD.  Indications of NaHCO3:metabolic acidosis in cardiac arrest, Tricycl
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36 year old man with pancytopenia

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  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 is welcome. Here is a case I've seen: A 36 year old man, who's a driver by occupation presented to the hospital with chief complaints of  breathlessness and palpitations on exertion since 1 month and decreased appetite since 4 days. History of present illness: The patient was apparently well 1 month back,then he developed breathlessness and palpitations on exertion,he also developed  easy fatiguability simultaneously for which he took medication on the advice of a Rmp.
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42 year old man with pain abdomen and vomitings

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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 is welcome. Here is a case I've seen: A 42 year old man was brought to the hospital by his wife with chief complaints of pain abdomen since 3 days and vomitings since 1 day. History of present illness: The patient was apparently asymptomatic 3 days back, then developed pain abdomen,diffuse, pricking type (more in left hypochondrium and epigastrium)radiating to back a/w sweating and burning sensation in epigastrium following an acute binge of alcohol(360 ml of whiskey) and vom
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67 yr old man with left sided hemiplegia and slurred speech

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  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 is welcome. Here is a case I've seen: A 67 year old man was brought to the hospital by his son with chief complaints of sudden onset weakness of  left upper & lower limbs since last night associated with slurring of speech and deviation of mouth towards right. History of present illness: The patient was apparently asymptomatic 1day back,then developed  sudden onset giddiness a/w fall and weaknes of left upper and lower limbs and deviation of mouth to right ,followed by
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