15-05-2025
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.
[15-05-2025 16.46] PPM 1: Afternoon session
56 year old male Known diabetic with Hbsag positive status on OHA since 3 years
CKD stage 4
TB defaulter 1 year back used antitubercular therapy for 2 months in October 2024(radiological confirmed TB) and then stopped.
Has h/o fever since 8 months associated with chills and rigors along with multiple episodes of giddiness, inability to talk and swallow for 2-3 hours every week and if he tries to stand and walk during those times he falls!
H/o burning micturition since 8 months
Cough with expectoration
H/o fall almost 4-5 times in the past 8 months.
With incidental finding of left upper pole of kidney showing an exophytic mass.
Cue showing plenty pus cells bacteria and fungal elements seen and was not Cathterised.
TLC -26k HB -7.5
Chest X-ray, HRCT lung findings and abdominal renal incidentaloma findings attached
Also very interestingly two trunat reports, yesterday negative and today positive attached.
