Skip to main content

Posts

A CASE OF BILATERAL PLEURAL EFFUSION SECONDARY TO OVARIAN TUMOR

 A 45 year old female daily wage labourer by occupation came to the opd with chief complaint of shortness of breath since 2 days. Patient was apparantly asymptomatic 2 days ago then she developed shortness of breath which is insidious in onset gradually progressive from grade 1 to grade 3.It is aggrevating on supine position and reliwved on sitting position . Sob is not associated with chest pain , chest tightness, palpitations ,fever ,  cold , cough , nausea, vomitings , loose stools , PND , sore throat , decreased urine output.   H/o exposure to smoke from fossil fules since 30 years and patient husband is a known smoker who smoker 4-5 beedis per day. PAST HISTORY  - No similar complaints in the past . - Not a k/c/o DM, HTN, TB, ASTHMA, EPILEPSY,CAD, CVA. - Tubectomy was done 20 years ago. MENSTRUAL HISTORY  PAST MENSTRUAL HISTORY - Age of menarche - 11 years . - Regular cycles 5-6 days / 30 days. - No pain , No clots  - Uses 2-3  pads per day. PRESENT MENSTRUAL HISTORY  - LMP - 4/1/
Recent posts

60 yrs old male with ? acute on chronic SDH

  A 60 YEAR OLD MALE WITH ?ACUTE ON CHRONIC SDH This is an Online E Log book to discuss our patient's de-identified health data shared after taking his signed informed consent Here we discuss our individual patients problems through series of inputs from available global online community of experts with an aim to solve those patient's with collective current best evidence based inputs. I've have been given this case to solve in an attempt to understand the topic of "Patient clinical data analysis" to develop my competency in reading and comprehending clinical data including history, clinical findings, investigations and come up with diagnosis and treatment plan. CASE DISCUSSION:- A 60 year old male, farmer by occupation came to the OPD with chief complaints of  Vomiting since 15 days  Giddiness since 15 days   History of present illness:- The patient was apparently asymptomatic 2 months back then he had alleged history of head injury following which patient went t