05-04-2025
THIS IS AN ONLINE E LOG BOOK TO DICUSS OUR PATIENT'S DE-IDENTIFIED HEALTH DATA SHARED AFTER TAKING HER SIGNED INFORMED CONSENT. HERE WE DISCUSS OUR PATIENT'S PROBLEMS THROUGH SRIES 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.
PARTICULARS:
Age: 50 years
Occupation: Teacher
Address: Coochbehar, West Bengal
CHIEF COMPLAINTS:
1. Frequent acidity – Triggered by fasting and spicy food
Past medical history: Duodenal ulcer (2011 and 2002)
2. Constipation
Recent history: Diagnosed with thrombosed piles a few months ago; resolved with medication
3. Knee pain – Radiates toward the hip and legs
History of arthritis diagnosed a few years back
Obstetric History:
Parity: 1
C-section in 2001
Currently in the perimenopausal phase
(Past history of PCOS, now resolved)
Current Medications:
1. Olmezest 20 (antihypertensive)
2. Calcium tablets
3. Vitamin D supplements
24-HOUR ROUTINE
6:00 AM: Wakes up
8:00 AM: Tea and biscuits
9:30 AM: Breakfast (rice)
10:00 AM: Leaves for school
1:30 PM: Tiffin (muri or rice)
7:00 PM: Tea and snacks
10:00 PM: Milk, oats, banana
11:00 PM: Sleep
[07-04-2025 16:19] PPM 1: @~PPM 3 please add an image of the lateral view of her phenotype showing arms and abdomen
[07-04-2025 16:20] PPM 1: @~PPM 3 check this history
Do a physical examination and share your findings other than the phenotype image
[07-04-2025 16:36] PPM 3: Okay sir I will let u know after taking her history sir
[07-04-2025 19:59] PPM 3: On examination patient had pallor sir, no icterus no cyanosis no clubbing no lymphadenopathy no edema
[07-04-2025 20:00] PPM 3: She is afebrile sir
BP-120/80mmhg
PR-78bpm
Rr-16cpm
Cvs-S1 and S2 heard
RS-BAE present
[07-04-2025 20:20] PPM 1: 👍
[14-05-2025 20.11] PPM 1: Any updates from this patient?
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