38M CKD LVF HTN Polyneuropathy Paraplegia Telangana PaJR

 

27-05-2025

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.

EMR SUMMARY

 Age/Gender: 38 Years/Male

Address:

Discharge Type: Relieved

Admission Date: 15/10/2024 05:05 PM

Name of Treating Faculty

(ASSOC PROFF)

(ASST PROFF)

[PGY2]

[PGY1]

Diagnosis

CHRONIC RENAL FAILURE

HYPERTENSIVE URGENCY(RESOLVED)

DENOVO HTN

63F With Polyneuropathy Telangana PaJR

 

27-05-2025

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 COLLECTIVE CURRENT BEST EVIDENCE BASED INPUTS.

[27-05-2025 12.52] PPM 1: OPD now

63F with Inability to walk and loss of sensation over all extremities in the glove and stockings distribution since 8 years

No history of Diabetes 

Admitted by @PPM3 who will share further her sensory findings

https://youtu.be/FpILovOnCHM?si=JAMt4gNCUEVKC1YG

https://youtu.be/h-YjXZqCSZo?si=z-zY7pVQu1LlV_8V

https://youtu.be/Zggb0Um6SwQ?si=I-8k5B6ZjNqBiuRN

66M With Metabolic Syn DM2 30yrs Telangana PaJR

 

27-05-2025 

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.

[27-05-2025 11.51] PPM 1: OPD now:

66M with metabolic syn diabetes 30 years.

Used to be a cutting master tailor but over last one year his customers have reduced as he's unable to cut properly!

On examination:

Glove and stocking anesthesia with loss of joint position sense 

Impaired tandem walking

Broad based gait 

Lives with wife. Son died recently. Unable to even afford their meals properly. Can't afford to get any further testing.

https://youtu.be/gMvOcm2ciLA?si=RZ8wZeL6v5UtFXiZ

68M Metabolic Syn HFPEF, Pulmonary Edema Telangana PaJR

 

27-05-2025

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.

[27-05-2025 15.44] PPM 1: Operative scar from 30 years for perforation and 4 years back for adhesions

24/5/25

26/5/25

[27-05-2025 16.27] PPM 1: Afternoon session:

Three heart failure and one altered senso PaJRed

One of them imaged here 👇

https://youtube.com/shorts/Ek5oQEDGNLY?feature=shared

55F Altered Sensorium after HYPOGLYCEMIA 27mg 1 mth DM2 12yrs Telangan PaJR

 27-05-2025

THIS IS AAN ONLINE E LOG BOOK TO DISCUSS OUR PATIENT'S DE-IDENTIFIED HEALTH DATA SHARED AFTER TAKING HER SIGND 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.

[27-05-2025 14.53] PPM 1: Small vessel changes

[27-05-2025 15:19] PPM 3: GPT did figure it out from the image - 

I can help analyze the images based on what I see.

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