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59F DIABETES 10YRS, RENAL FAILURE 10 MONTHS, UNCONTROLLED BLOOD SUGARS 10 DAYS. TELANGANA PAJR.
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04-11-2024 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 patients clinical problems with collective current best evidence based inputs. In this case the patient is 59 Yr old female with Diabetes since 10yrs. She is also suffering with Renal failure since 10 months. Since 10 days her blood sugars are uncontrolled and was advised to be admitted in the hospital. PPM 3 - Did you check the morning sugars? PA - No madam. Will check in the evening. 06-11-2024 PPM 1 - What is the current treatment for her diabetes that she's on? PPM 3 - 6U actrapid TID sir. PPM 1 - Let's make it 8U TID from today. What's her Serum Creatinine? PPM 3 - Creatinine 2 sir. PA - Sugar value is 405 PPM 3 - Please give the patient 8U Insulin. PPM 1
20F HYPOTHYROIDISM 20YRS(SINCE BIRTH) MADHYA PRADESH PaJR.
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This is an online E Log book to discuss our patients 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 patients clinical problems with collective current best evidence based inputs. To begin with the 20F is a case of congenital hypothyroidism since birth. The patient is suffering with severe headache since 2012. She also has anxiety disorders which continue for one whole day or may subside after a few hours. The patient is also suffering with hair loss and pain in the scalp. If we go into the past of this patient and another patient with the same problem of congenital hypothyroidism, the outcome of these two cases of late diagnosis is given below. OUTCOME OF TWO CASES WITH LATE DIAGNOSIS OF CONGENITAL HYPOTHYROIDISM. A CASE REPORT. Composite of Regional Centre for Persons With Disabilities, Department