43M DM, Calcific Pancreatitis Telangana PaJR

 

13-06-2025

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.

[13-06-2025 11.57] PPM 1: OPD 43M

Calcific pancreatitis and type 3 Diabetes with osmotic symptoms since 10 months @PPM2

Alcohol consumption as in 10 bottles continuously for 10 days with large gaps of months to years. Was diagnosed 1 year back here with calcific pancreatitis 

Currently complains of severe muscle pains and on examination (attached images) suggestive of sarcopenia along with left biceps Popeye.

32M With Wernicke's Encephalitis Telangana PaJR

 26-05-2025

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.

[26-05-2025 16:40] PPM 1: @PPM4 please add the patient's history here

[26-05-2025 16:42] PPM 4: 1. COMPLAINTS AND DURATION

32 year male resident of Pochampally. Bike mechanic by occupation. 

Chief complaints: 6 days ago continuous general weakness.

Insidious onset, progressive weakness,

 Hematuria 2 episodes - yest night gradually progressive loss of appetite.

 No C/o Fever, cough, cold, loose stools, Nausea, vomiting, Burning micturition

 No C/o Chest pain, SOB, orthopnea, palpitations

 No C/o Visual or Auditory hallucinations

 No C/o Trauma

40M With Alcoholism DM2, Quadriparesis Stroke Telangana PaJR

 

23-05-2025

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.

[23-05-2025 12.23] PPM 1: 40M regular alcohol consumer, trunkal obesity, diabetes and Hypertension since 3 years, had a sudden quadriparesis three years back but recovered soon and then continued drinking and having weakness as well as slurred speech which was difficult to differentiate if it was from drinking or some other focal neurological deficit! 6 days back had a sudden left hemiparesis waking up in the morning following which recovered completely after reaching hospital in two hours but it struck again after few hours and he has been left hemiparetic since the last 6 days!

https://youtu.be/BM_xNWi9zSA?si=rj6nruQepuuY0LxK

77M HTN Hydrocele Cirrhosis Telangana PaJR

 

06-05-2025

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 EVIDNCE BASED INPUTS.

[06-05-2025 12.24] PPM 1: OPD now @PPM3: 77M twice admitted in Jan 2025 with pedal edema, hydrocele and ascites. Now complains of gynecomastia after two months of taking lasilactone with pain in the left breast!

33M Alcoholic Chronic Cryptococcus Meningitis

 

29-04-2025

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.

Afternoon session: 33M with fever and headache for three months

Yesterday admitted in delirium

On examination: Meningeal signs not very definitive 

Past alcoholic but stopped due to illness for the last few months

CSF showed these attached organisms along with protein of 105 mg/dl and sugar 45 mg/dl and 20 cells

[29-04-2025 15.38] PPM 1: @PPM2 @PPM3 Last time remember we couldn't procure Amphotericin B and had to refer the patient and we don't have any clue as to what is happening to all these patients for who are unable to procure amphotericin B! @PPM4 @PPM5 @PPM6 do you see such patients in your Telangana practice? How do you procure amphotericin for them?

50F Chronic Alcoholism Wernicke's Acute CVA Telangana PaJR

 

14-04-2025

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.

50F with coma and left sided conjugate eye deviation and as described by @~PPM 3 hypoactive delirium but what is hypoactive delirium? She had recently increased her alcohol consumption from a quarter bottle to one bottle of OC per day!