25F With HIV PAH Telangana PaJR

 

24-05-2025

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 COLLETIVE CURRENT BEST EVIDENCE BASED INPUTS.

[24-05-2025 10.38] PPM 1: Afternoon session yesterday:

The most interesting part about this 25F with HIV is that her pulmonary artery dilatation is disproportionately higher than her RV dilatation and current PA pressures estimated by Doppler (which is anyways not reliable).

Although we do have some good phase 1 research to explain this disproportionate findings based on generalized molecular level findings in this disease, I'm not sure if this has ever been reported before by others https://pubmed.ncbi.nlm.nih.gov/18845923/#:~:text=HIV%2DPAH%20is%20associated%20with,forms%20of%20PAH%20is%20suggested. @PPM3 @PPM4 @PPM5

48M Pedal Edema Pulmonary Embolism Telangana PaJR

 

10-04-2025

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.

[10-04-2025 11.09] PPM 1: OPD right now 48M with history of cough and shortness of breath as well as left loin pain since last 5 months and bipedal edema since two weeks.

Also has hypertrophied latissimi indicative of his occupation which is toddy tree climbing. Another, our campus sign? @~PPM3 @~PPM4, He's also a toddy drinker as well as drinks other kinds of alcohol, chews tobacco often and his last drink of a quarter was two days back! Three months back he was admitted in another hospital ICU and a CT pulmonary angiography found multiple filling defects @~PPM5

[10-04-2025 11:10] PPM 1: 👆step 1 of toddy tree climbing and prominent latissimi

[10-04-2025 11:10] PPM 1: 👆Step 2 of toddy tree climbing and prominent latissimi

[10-04-2025 11:34] PPM 6: 1. Acute Pulmonary Thromboembolism

2. Left Pyelonephritis

3. Urinary Tract Infection (UTI)

4. Prominent Left Latissimus Dorsi (likely due to toddy tree climbing)

PPM 1: 👍

[10-04-2025 16.22] PPM 1: Afternoon session:

https://youtube.com/shorts/QD5gCfQRtkY?feature=shared 

[11-04-2025 09:40] PPM 1: Pleased to add our PGY1 and great to see his interest in this direction @PPM 2 Let's hope he becomes another mover and shaker emerging out of the Narketpally syndrome![14-04-2025 07:59] PPM 1: @PPM7 would you and @PPM 8 :) @PPM 4 like to take the complete history details of this patient on a con call for another potential integrative case report? His advocate is regularly updating me his prowess and I'm hoping he will also share here

[14-04-2025 08:20] PPM 4: Sir language?[14-04-2025 08:42] PPM 1: @PPM 7 will help to translate during the con call

[14-04-2025 13:09] PPM 7: Yes sir

[24-04-2025 11:56] PPM 1: [14/04, 07:59]pm: Share his update in his group here👇https://chat.whatsapp.com/Jr9JKNMo2NsEmbXH8XSLot