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Showing posts from December, 2024

63M Diabetes 20 years, pruritus and skin lesions months WB PaJR

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10/12/24 PaJR PHR Moderator: 59M  grbs-long distance patient 8 pm-318 10 pm-251 2am-255 7am-295 👆Uni sugarer oshudh koto dose ebong ki time a khacchen ektu janaben Sokaler Vildagliptin ta bondho kore Otao tablet glimiperide 2mg kore din MOPD Met this patient once in 2014 and 2015 in Bhopal @⁨Participant⁩ and once in 2016 in Durgapur @⁨Participant Diabetes since 2013 Currently on OHAs GP2 once and sitagliptin 50 once daily Complains of increased frequency of urination 6 months only in morning. No nocturia. Also complains of Hematuria once one month back. Pruritus at the back and lower limbs 2 months. @⁨Paticipant⁩ @⁨Participant we have admitted him in SS ward Please get his urine CUE, culture, seven point sugar profile, chest X-ray, ECG, LFT, RFT, Hemogram, Ultrasound and urology opinion Paticipant: Sir medicine dose Glmeprid 2mg one+1mg1/2 two' time before meal  Metformine  TDS one tab after meal That's right sir please reply PaJR PHR Moderator: Right Glimiperide 2.5 bef...

42M Palpitations intermittent 3 years CG PaJR

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Patient Advocate: Hello Chest Mein Halka Sa pen Hai Aur kamjori Bhi lag raha hai sir Ke Piche gardan Mein Thoda Sa Halka Dard Hai Pichhle 2 Hafte se एक-एक ghante mein urin ho raha hai Pichhle 2 sal pahle Aisa Hi chest pen hokar Dil Ki Dhadkan 28 bar per minut ho gaya tha same Vaisa hi Abhi Bhi lag raha hai Jiska treatment hyderabad Hospital mein kiya gaya tha Participant: Patient getting slight pain in chest, feeling week, back if the neck also there is pain and discomfort Participant: Last 2 weeks patient is getting urge for urinations PaJR PHR Moderator: Uska discharge summary share kijiye taki IP number dikhe par patient ka naam na dikhe Participant: 2 years back patient has same symptoms hear rate came down Patient Advocate: Sar vah do sal pahle admit hua tha to uska discharge paper mil Nahin raha hai main aaj dhundhne ka koshish kiya tha PaJR PHR Moderator: He needs to collect his 24 urine volume as well as the total 24 hour water he's taking and share it with us Participant: ...

Participatory Medicine

Experience as a Patient Advocate COMPLETE DATA - 3 Years Old child, Type1 Diabetes, Insulin Hypoglycemia, Intermittent, Bloating 1 Month https://narmeenshah.blogspot.com/2024/07/3-year-old-child-type1-diabetes-insulin.html Good: In this journey of participatory medicine, the primary caregiver of this patient has exemplified exceptional engagement by consistently and diligently sharing detailed data about the patient's condition. Despite the patient belonging to a vulnerable population, 3 year old child with diabetes and hypoglycemia unawareness, who is unable to communicate her needs directly the family has ensured no gaps in communication. This proactive collaboration from the family, synchronous & asynchronous support from the healthcare team has made timely management of the critical disease and improvements in care possible. The family feels more hopeful and educated in managing their child’s health appropriately, with the transparency of the treatment encouraging greater i...

57M Tb cervical lymphadenopathy pancytopenia on ATT

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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 consent. Here we discuss our individual patient's problems through a series of inputs from the available global online community of experts with the aim to solve those patients' clinical problems with the collective current best evidence-based input.  Case History 9 months ago, a small "gadda" appeared on the neck. FNAC was performed, and the report at that time were same as the current report. Sputum test was negative. Based on the analysis of the "gadda," TB symptoms were suspected. Medications were started and continued for 5 months., during which the "gadda" began improving. For the first month of treatment, everything was fine, but fever episodes started appearing after that. These fevers occurred twice a month, lasting about 5-10 days each time. In October, the patient experienced low platelet counts and a jaundice ep...