GENERATE MEDICINE : LEARNING EXPERIENCES

Hello! I'm Vagisha Rani, medical student from India.

Case 1
https://vagisharani.blogspot.com/2023/08/19-year-male-with-pyrexia.html?m=1

19 year old boy
19year old male came to the opd with complains of fever since 30 days.C/O SOB since 15 to 20 days

HOPI:


Patient was apparently asymptomatic 1 month ago then he developed lowgrade intermittent type of fever which aggravated since 15 days, mainly during the night time,temporarily relieved on medication.It was associated with bodypains and headache, low backache.Not associated with cold and cough, burning micturition and rash on body.He complains of SOB since 15 days which is present even on rest,which aggravates after having food.Bloating and chest tightness are present.

Provisional Diagnosis:
Immune thrombocytopenia 
Viral pyrexia under evaluation

Treatment

Tab dolo 650 mg / PO/TID
Monitoring vitals 4th hourly
Tab MVT PO/OD/2PM
Tab ultracet PO/QID

My interpretations
-Giant platelet could suggest idiopathic thrombocytopenic purpura
 Postive findings 
- normal RBC smear
- WBC count within normal range
- thrombocytopenia

Differential diagnosis 
Another finding could be Bernard soulier syndrome
- postive findings in the patient includes
Thrombocytopenia
Giant platelet
Bleeding gums
Prolonged bleeding time
But it is a rare inherited disorder

My learning experience

Hematology is like diving into an ocean. The more deeper we go.. more interesting it gets.
Previously in my 3rd and 5th semester of my MBBS course my knowledge about hematology was only limited to hypoproliferative disorders like iron deficiency anemia.
Presently in 8th semester,after examining alot of patients, finally Im able to unlimit my thinking process to various other blood disorders.
It also made me realise that there are alot of literature yet to be discovered. 
This patient, a neet aspirant, kinda reminded me of the journey I started as a medical student.
After a week the patient's fever got subsided and he started doing better.



Case 2

https://vagisharani.blogspot.com/2022/11/33-year-old-male-patient.html?m=1

CHIEF COMPLAINT: patient came to the opd with complaints of burning and painful micturition since 2 years.

C/o  Dyspareunia ( painful intercourse) since 2 years.
C/o  Bilateral Decreased hearing since 2 years
C/o indigestion and pain abdomen since 5 years
 TREATMENT


Case 3
https://vagisharani.blogspot.com/2022/10/65-year-old-male-patient.html?m=1

GM Blog: 65 year old male patient 

Date of admission: 6-10-2022

CHIEF COMPLAINT: Vomiting and fever since four days. Loose Stools since three days.
Provisional diagnosis: acute gastroenteritis
Treatment

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