FEVER PROJR 202407866

 Fungal 




Comments

Post a Comment

Popular posts from this blog

63F Urinary incontinence 4 years ,RA on DMARD 25 years

Image
 A 65 year old Hindu woman a housewife a resident of west bengal having a Bsc degree and belonging to middle class according to modified kuppuswamy scale presented to the general medicine OPD with  chief complaints of  -constipation since the past 3 years  -continuous dribbling of urine since the past 4 years    History of presenting illness   Patient was apparently asymptomatic 26 years ago , when she developed continuous dull aching pain in both the knee joints , which was exaggerated in the mornings and was bearable throughout the day , it was aggravated on walking and relieved on rest  associated with redness around the knees no history of trauma no history of evening rise of temperature  no history of cosmetic deformity(varicosity, skin discoloration) -she underwent a bilateral knee replacement for knee stiffness  -is on DMARDS since 25 years  patient was incidentally diagnosed with hypertension 20 years ago during a follow up visit  -she was started on antihypertensive medicat
Read more

65Y/F CKD 2° MHD

Image
WARD CASE - 11th September 2023 A 65 year old uneducated lambadi woman a resident of Bhongir , working as a daily wage worker since 40 years earning 250 rupees a day , belonging to low socioeconomic status according to modified kuppuswamy scale presented to the general medicine OPD with chief complaints of : - swelling in both the legs since 15 days  - cough and shortness of breath since 10 days    History of presenting illness  Patient was apparently asymptomatic 6 months ago , when she developed swelling in the lower limbs which was insidious in onset and gradually progressive , it was associated with pain which was dragging in type and aggraveted on walking and working and was relieved on rest. -not associated with trauma  -not associated with any joint pains  -no history suggestive of previous filarial infection she was diagnosed with renal failure secondary to hypertension and started on dialysis    She has swelling of the lower limbs since 15 days which was insidious in onset and
Read more

MY EXPERIENCES WITH GENERAL CELLULAR AND NEURAL CELLULAR PATHOLOGY IN A CASE BASED BLENDED LEARNING ECOSYSTEM'S CBBLE

Image
  Greetings,  I am Anahita Behara a final year medical student from India .I welcome you to join me on my journey in navigating the topsy turvy road of learning in medical school.      CBBLE PAJR PARTICIPATORY LEARNING ACTION RESEARCH DISCLAIMER  NOTE: THIS IS AN ONLINE E LOGBOOK 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 A SERIES OF INPUTS FROM THE AVAILABLE GLOBAL ONLINE COMMUNITY OF EXPERTS INTENDING TO SOLVE THOSE CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE-BASED INPUT.   I remember the first-time general medicine sparked interest in me .  Due to covid restrictions  our second year of medicine was conducted online .We had telephonic conversations with the patients to take their history and subsequently document elogs or online case logs. I vividly recall the case of a 70 year old woman with hypothyroidism who wa
Read more