MY INTERNSHIP ELOG

1) Anatomical diagnosis -Kidney Or  Cardiac Or   Liver                                                                Etiological diagnosis -  ?? Nephrotic syndrome secondary to the diabetic nephropathy or chronic kidney disease 2)Reasons for I) Azotemia : impaired renal excretion of urea and creatinine secondary to CKD. II) Anemia : decreased erythropoietin. III) Hypoalbunemia: capillary basement membrane and podocytes damage.  IV)  acidosis: acidification of urine is lost.                                  3) Rationale : syp potchlor was given because of the hypokalemia.. Inj. NaHCO3 was given because of metabolic acidosis ..Insulin and antihypertensives are given because known case of DM and HTN. Orofer XT was given because of anemia.. Inj. Lasix was given to decrease her volume overload. Spironolactone was given it was a potassium sparing diuretic.Calcium was given to the patient  because of hypocalcemia secondary to CKD. Indications of NaHCO3:metabolic acidosis in cardiac arrest, T

This is an online E log book to discuss our patient's de-identified health data shared after taking his/her/guardian's signed informed consent.  Here we discuss our individual patient's problems through series of inputs from available global online community of experts with an aim to solve those patient's clinical problems with collective current best evidence based inputs.  This E log book also reflects my patient-centered online learning portfolio and your valuable inputs on the comment box is welcome. Here is a case i have seen: 45year old male who came from *** is a tailor by occupation married for 20years with a son and a daughter came with chief complaints of weakness of left upper limb and lower-limb with deviation of mouth and slurring of speech since 3 days Patient was apparently asymptomatic 20years back then attenders of the patient noticed altered behaviour in patient with decreased attention span. The patient is lost in his own thoughts even while he is spe

  This is an online E log book to discuss our patient's de-identified health data shared after taking his/her/guardian's signed informed consent.  Here we discuss our individual patient's problems through series of inputs from available global online community of experts with an aim to solve those patient's clinical problems with collective current best evidence based inputs.  This E log book also reflects my patient-centered online learning portfolio and your valuable inputs on the comment box is welcome. Here is a case i have seen: 56 year old man was posted for amputation of 3rd and 4th toe at 3pm  referred to us in view of high blood sugars - 425 mg/dl   He was apparently asymptomatic 3 years back then  he was diagnosed to be diabetic when he was taken to a local hospital after the attendants observed that he had lost weight . He has been on insulin mixtard 20 units in the morning and tab metformin 500mg in evening since 2.5 years.    He  used to work as a farmer bu