05-09-2025
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.
[05-09-2025 17:10] PPM 1: @PPM3 clinical details?
[05-09-2025 17:47] PPM 3: Pt was brought to the casualty in the state of unresponsiveness
HOPI
Pt was apparently asymptomatic 3 days back then he developed pedal edema insidious in onset, bilateral, pitting type, extending up to the shin associated with SOB-II to III (MMRC).no H/o orthopnea, no H/o PND, H/o cough with expectoration since 3 yrs sputum-whitish, no postural variation, No diurnal variation, H/O weight loss present, H/O fever present, then today H/o decreased urine output present, fever present low grade not associated with chills and rigor. Morning at around 8 AM today he developed slurring of speech and unresponsiveness.
GRBS - 39 mg/dL and was given 25% D following which GRBS was 343 mg/dL.
No H/o chest pain, palpitations
K/C/O T2DM on Tab Glimepiride 2 mg + Metformin 500 mg + Vogli 0.2 mg since 5 yrs
K/C/O HTN since 5 yrs on Tab Amlodipine 5 mg + Atenolol 50 mg
[07-09-2025 11:51] PPM 1: 👆Bone mets or did he have Diarrhoea?
[07-09-2025 11:52] PPM 1: Hemorrhagic pleural tap? Approximate date?
[07-09-2025 12:10] PPM 3: 27/8/25
[07-09-2025 12:11] PPM 3: He didn't have diarrhea, bone mets seems likely, he was complaining of lower back pain
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