General medicine internal one

 



















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general medicine elog

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 Anahita Behara  roll no.08 This is 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 best evidence based inputs. This e-log book also reflects my patient centered online learning portfolio and your valuable inputs on comment box is welcome . Case discussion A 55 year old male resident of Nunavathanda came to opd with Chief complaint of Pain abdomen at right hypochondrium and lumbar region , decreased appetite & SOB (shortness of breath) since 20 days for which he went to a local hospital and diagnosed as Multiple liver abscess(? Pyogenic)-unliquified and treated with IV antibiotics. No H/O Fever,vomitings,loose stools,no other complaints H/O TB 10 years back used medications fo...
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A review of optimizing clinical complexity around fever in Narketpally

 Draft ??? 17/05/2025 Draft: Optimizing Clinical Complexity Around Fever in Narketpally Introduction Febrile Illness is among the most commonly seen clinical symptomatology and presents a  diagnostic challenge in resource-limited and epidemiologically complex regions like Narketpally, Telangana. This semi-urban setting experiences a broad spectrum of febrile illnesses influenced by seasonal patterns, endemic infections, and a dual burden of communicable and non-communicable diseasesThis review of 77 cases of a wide array of fever diagosis and its management would help us understand the challenges faced by healthcare providers and patients to the challenges faced with this clinical complexity. Optimizing the clinical approach to fever in such a context necessitates a refined, context-specific strategy. Clinical Complexities and Challenges Diagnostic Overlap : The overlapping symptomatology of many febrile illnesses, such as myalgia, rash, and headache, complicates early diag...
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Case report of Acetamiprid poisoning with Turquoise vomitus

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Introduction  Acetamiprid belongs to a new systemic neonicotinoid insecticide that is effectively used for crop protection and flea control in agricultural works [ 1 ]. It has low toxicity in mammals, but ingestion of large amounts can cause severe toxicity. It is described in a case report that a buffalo exhibited severe gastrointestinal symptoms and respiratory distress following accidental ingestion of acetamiprid in India [ 2 ]. Here we describe a case of a 34 year old male with diabetic ketoacidosis and acetamiprid ingestion  Case Report  This is the case of a 34 year old male who is a resident of Nalgonda m, Telangana , who is a farmer by occupation , was brought to the casuality at 6:00am with history of Acetamipride 20% (insecticide) ingestion  approximately 50gm powder in 2 glasses of water , he presented with 3 episodes of turquoise colored vomitus and shortness of breath since 1:00am   There is n/h/o pain abdomen , giddiness , nausea , chest pain...
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