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.
[10-07-2025 11.27] PPM 1: 23M in OPD
Severe progressive, painless clubbing since 6 months before which the patient says his nails were normal!
Also incidentally detected polycythemia
Possibilities? @PPM3
[11-07-2025 13.07] PPM 1: Few more data from this patient especially investigating the congenital heart disease with shunt reversal angle to his clubbing.
Chest X-ray prominent main pulmonary artery and inferior lobar branch, ECG unremarkable
2D echocardiography needs to be repeated but here's a preliminary video where the shunt hasn't been actively looked for.
[11-07-2025 13.07] PPM 1: https://youtube.com/shorts/oR2xb_pmAfE?si=mStk7xQviFwiNKth
https://youtube.com/shorts/XJX0STAuhz8?si=DPRSL49h3WMqVhC9
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