PaJR Case Reports

Wednesday, May 27, 2026

50M Hypertension with Target organ changes Telangana PaJR

27-05-2026

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 PATIENT'S PROBLEMS THROUGH SERIES OF INPUTS FROM AVAILABLE GLOBAL ONLINE COMMUNITY EXPERTS WITH AN AIM TO SOLVE THOSE PATIENT'S CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE BASED INPUTS.

[4:43 pm, 27/05/2026] PPM 1: @PPM3

Share the target organ changes noticed in this patient

[4:54 pm, 27/05/2026] PPM 3: Kidney- reduced Gfr

Heart- pedal edema (indicates rt heart failure)

Para sternal heave (rt ventricular enlargement)

Ecg changes- left axis deviation

Saemens sign (indicates left ventricular hypertrophy) sir

35M Hypothyroid yrs left shoulder pain recent Repetitive Stress Injury Telangana PaJR

26-05-2026

[8:39 pm, 26/05/2026] PPM 1: @PPM3 do you recall his morning history of hypothyroidism how he was started on 150 mcg some years ago for a TSH of 300 and then didn't check his TFTs for a year and later someone found his TSH to be 36 and brought down his dose to 75 mcg and today his TSH was 9 @PPM4?

[8:58 pm, 26/05/2026] PPM 3: Yes sir

[8:59 pm, 26/05/2026] PPM 3: Today TSH was 9

[9:09 pm, 26/05/2026] PPM 1: On examination for his chest and arm pain it appeared to be a rotator cuff injury with extreme tenderness during internal and external rotation.

Need to check physiotherapy support videos for the above

[9:25 pm, 26/05/2026] PPM 3: Ok sir

14F Pubertal adenomatous goitre Telangana PaJR

27/05/2026

THIS IS AN ONLINE E LOG BOOK TO DISCUSS OUR PATIENT'S DE-IDENTIFIED HEALTH DATA SHARED AFTER TAKING HER GUARDIAN'S SIGNED INFORMED CONSENT. HERE WE DISCUSS OUR PATIENT'S PROBLEMS THROUGH SERIES OF INPUTS FROM AVAILABLE GLOBAL ONLINE COMMUNITY EXPERTS WITH AN AIM TO SOLVE THOSE PATIENT'S CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE BASED INPUTS.

[2.51 pm, 27/05/2026] PPM 1: Cosmetic goitre

@PPM3 do you remember since when?

Free T3 raised

Others normal

Anti TPO and TSH receptor antibodies negative

Usg, fnac attached

[2:55 pm, 27/05/2026] PPM 2: Free T3 is classically raised in Thyroid Nodules which isn't Graves

Tuesday, May 26, 2026

11M Nocturnal enuresis Metabolic syn OSA childhood obesity post COVID Telangana PaJR

26-05-2026

THIS IS AN ONLINE E LOG BOOK TO DISCUSS OUR PATIENT'S DE-IDENTIFIED HEALTH DATA SHARED AFTER TAKING HIS GUARDIAN'S SIGNED INFORMED CONSENT. HERE WE DISCUSS OUR PATIENT'S PROBLEMS THROUGH SERIES OF INPUTS FROM AVAILABLE GLOBAL ONLINE COMMUNITY EXPERTS WITH AN AIM TO SOLVE THOSE PATIENT'S CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE BASED INPUTS.

[3.02 pm, 26/05/2026] PPM 1: @PPM4 @PPM3 his lateral view of abdomen and arms

[11.00 am, 27/05/2026] PA: Morning breakfast

[1:56 pm, 27/05/2026] PPM 1: Pasta poorti ga maida undi! Idi tinna voddu

[2:08 pm, 27/05/2026] PPM 1:

Idi chudandi 👇

https://medicinedepartment.blogspot.com/2023/10/healthy-harvard-plate-in-telugu.html?m=1

42F Acute Fever with Cytopenia and body pains Telangana PaJR

26-05-2026

THIS IS AN ONLINE E LOG BOOK TO DISCUSS OUR PATIENT'S DE-IDENTIFIED HEALTH DATA SHARED AFTER TAKING HER SIGNED INFORMED CONSENT. HERE WE DISCUSS OUR PATIENT'S PROBLEMS THROUGH SERIES OF INPUTS FROM AVAILABLE GLOBAL ONLINE COMMUNITY EXPERTS WITH AN AIM TO SOLVE THOSE PATIENT'S CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE BASD INPUTS.

[12:12 pm, 26/05/2026] PPM 1: @PPM3 @PPM4 please ask someone to share the full fever charts since admission and also a deidentified copy of the discharge summary

[12:12 pm, 26/05/2026] PPM 3: Ok sir