30F Rheumatoid arthritis Bell's palsy Thyroid dysfunction Telangana PaJR

 

25-05-2026

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 BASED INPUTS.

[4.46 pm, 25/05/2026] PPM 1: Please remove all identifiers, patient as well as institutional before uploading

Also hope you are sharing the lateral view of the abdomen and arms in the clinical images

                                   
[4.50 pm, 25/05/2026] PPM 3: https://youtube.com/shorts/Knprhuzw0Dk?is=H2VU7hbTinUD1cUb

68M Foot edema SOB Telangana PaJR

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 EXPERTTS WITH AN AIM TO SOLVE THOSE PATIENT'S CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE BASED INPUTS.

 [4:43 pm, 25/05/2026] PPM 1: @PPM4 is this your patient?

[4:43 pm, 25/05/2026] PPM 3: Yes sir

[4:46 pm, 25/05/2026] PPM 1: Please share his history and clinical images

[4:53 pm, 25/05/2026] PPM 4: Patient is a k/c/o Parkinson’s disease since 6 months sir

With chronic eczema

Now came with complaints of swelling in bilateral foot with sob on exertion sir

Patient went for investigations sir

[4:55 pm, 25/05/2026] PPM 1: He's 68M right but may have entered the age wrong?

Alright will need his clinical images of lateral abdomen and arm muscle and his pedal edema

[4:58 pm, 25/05/2026] PPM 4: Okay sir

42M Alcoholism 10 yrs, Metabolic syn, Diabetes 2 yrs, Liver failure, alc hepatitis, recent WB PaJR

 

25-05-2026

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 PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE BASED INPUTS.

[2:11 pm, 25/05/2026] PPM 1: https://userdrivenhealthcare.blogspot.com/2024/08/template-for-pajr-user-driven-history.html?m=1

[2:17 pm, 25/05/2026] PPM 1: @PPM3 @PPM5 @PPM4 Can you share this patient's history, perhaps the hand written ones from the file after proper deidentification removing all patient and hospital identifiers?

[2:26 pm, 25/05/2026] PPM 4: Sure sir

[2:37 pm, 25/05/2026] PPM 3: Ok sir

[2.41 pm, 25/05/2026] PPM 1: 

https://1drv.ms/p/c/83fd19b3363f46cd/IQDbsGeLfcl1T6_TU2ioP6oIAcxfMS0CkNh6JHjP26UHzpk?e=XCa6lf

[2:41 pm, 25/05/2026] PPM 1: The patient is currently being presented by @+91 88974 46881 and I have shared the data she has collected and organised into a PPT here

[2:42 pm, 25/05/2026] PPM 1: @PaJR Health would you like to prepare an imrad format summary of the case report and share a few Socratic questions?

                                                     
https://youtube.com/shorts/9HFcpuu8-GQ?is=MBvxgiptBaNjRyfw

https://youtube.com/shorts/CavSE-fLkjg?is=1ad6Yn5xARuRu5x1                       

                            

                            

https://youtu.be/H8Cjd962dq8?is=RHxA1HkTlIdqwkRa

18F severe iron deficiency anemia with painful fibrodenoma Telangana PaJR

 

25-05-2026

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 BASED INPUTS.

[5:01 pm, 25/05/2026] PPM 1: @PPM3 whenever you have time please do share the history and clinical images along with the investigations etc

[5:02 pm, 25/05/2026] PPM 3: Ok sir

                             
                
                              

[6.29 pm, 25/05/2026] PPM 1: Very striking knuckle hyperpigmentation!

57M Low backache 1 year and red eyes 25 years WB PaJR

 

19-04-2026

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.

[6:03 pm, 19/04/2026] PA: Weight eighty kg

[6:04 pm, 19/04/2026] PA: Ami janate chiche Inj.gulo nibo ki na

[6:06 pm, 19/04/2026] PPM 1: Gata eak bachhar thake

Komore byatha ta ekdin hothat hoyechilo naki aaste aaste.

Kabe theke unar 10-15 minute haathle are haatha jaina?

[6:07 pm, 19/04/2026] PA: Hothat hoy ni

[6:08 pm, 19/04/2026] PA: 15- 25 minute hatle hoy

[6:08 pm, 19/04/2026] PA: Hatle hoy 20 theke 25 minute

[6:09 pm, 19/04/2026] PPM 1: 25 years dhore iritis ta bochore kobar hoto?

[6:12 pm, 19/04/2026] PA: IRITIS BOTSORE 1 BAR HOY

[6:21 pm, 19/04/2026] PPM 1: 25 minute howar por kotokkhon rest nile por byatha ta ekdom kome jai?

[6:24 pm, 19/04/2026] PA: 10 minute

[6:25 pm, 19/04/2026] PA: Sab samay batha hoy na kintu

[6:26 pm, 19/04/2026] PA: Anekkhan hatle bathaa batha anuvob hoy

Thakhan aktu bose nai tarpor abar hati

66M CVA Infarcts bicytopenia Telangana PaJR

 

14-05-2026

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.

                    
                          

      

 

[6:16 pm, 14/05/2026] PPM 1: Any deidentified images of the MRI with findings will be appreciated

[6:17 pm, 14/05/2026] PPM 1: Turp on 2/3/26

What was his history before his TURP? When was he absolutely alright?

What happened after his TURP?

[6:21 pm, 14/05/2026] PPM 3: Sharing sir one moment

[7:12 pm, 14/05/2026] PPM 3: After his turp he was alright then since 3-4 days he was feeling fatigue and on the day of presentation he got did his regular activities at 9 am he was eating the food and suddenly was unable to talk, and has deviation of the mouth to the left side 

No h/o involuntary movements, tongue bite , rolling of eyes, urinary or fecal incontinence 

Doesn't have any known comorbidities

[7:19 pm, 14/05/2026] PPM 1: And why did he have to have a TURP?

What were his symptoms prior to that?

Could the turp have been avoided?

Did the turp have anything to do with his recent symptoms?

[7:21 pm, 14/05/2026] PPM 3: He had pain and burning micturition, need to take history of pre turp

[7:23 pm, 14/05/2026] PPM 1: 

Yes and there could be some leads there to his bicytopenia

What if this was a prostate malignancy rather than BPH? Do we have the turp tissue biopsy or this patient was operated in a non academic centre?

[7:23 pm, 14/05/2026] PPM 3: He was operated here

[7:24 pm, 14/05/2026] PPM 3: Before turp he had 2 blood transfusions done

[7.25 pm, 14/05/2026] PPM 1: Aha!

That does raise the suspicion further

We don't know what is here because that's supposed to be deidentified but from what I can guess it's likely a non academic centre! 😅

[7.26 pm, 14/05/2026] PPM 3: 😅😅