29-04-2025
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.
Saturday, December 12, 2015
A 50 years old woman with Hypertension and recurrent nausea, vomiting, giddiness and diarrhea with severe hypokalemia and hypocalcemia
This is the patient's record uploaded earlier here:
http://www.udhc.co.in/INPUT/displayIssueGraphically.jsp?topic_id=1867 by Mr Pradip Kar from Mathabhanga.
During her work up in LNMCH, Bhopal (winter 2015) we retook the history and realized that she was hypertensive since 1995 since her last childbirth and on 2013 she had an episode of probable stroke followed by nausea, vomiting and diarrhea with severe hypokalemia and hypocalcemia.
We looked at secondary causes of hypertension (also see tabula rasa conversational decision support in her previous record linked above).
A CT abdomen revealed a left adrenal cortical tumor.
Her Aldosterone/renin ratio was also raised.
She was sent home on an aldosterone blocker (spironoloactone) and her updated potassium report done on first winter of 2016 shows 5.3 mmol/lt
http://www.udhc.co.in/INPUT/displayIssueGraphically.jsp?topic_id=1867 by Mr Pradip Kar from Mathabhanga.
During her work up in LNMCH, Bhopal (winter 2015) we retook the history and realized that she was hypertensive since 1995 since her last childbirth and on 2013 she had an episode of probable stroke followed by nausea, vomiting and diarrhea with severe hypokalemia and hypocalcemia.
We looked at secondary causes of hypertension (also see tabula rasa conversational decision support in her previous record linked above).
A CT abdomen revealed a left adrenal cortical tumor.
She was sent home on an aldosterone blocker (spironoloactone) and her updated potassium report done on first winter of 2016 shows 5.3 mmol/lt
