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Dr. Vagisha Rani

Hi This is Vagisha Rani, a 8th semester medical student ."This is 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 patients clinical problems with collective current best evidence based inputs"

65 year old male

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August 01, 2023

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39 year old male patient from West Bengal

December 02, 2023

This is a case of a 39 year old bus driver who is a resident of West Bengal. CHIEF COMPLAINT : Abdominal distension since 2 months. Swelling in the leg since 2 months. Decreased appetite since 2 months. Decreased urine output since 1 month. HISTORY OF PRESENT ILLNESS- Patient was apparently asymptomatic 2 months ago then he developed abdominal distension which was insidious in onset and gradually progressive, associated with decreased appetite. Later he developed bilateral pedal edema extending upto the knees which is of pitting type. After a month his urine output got decreased still he continued his work as a bus driver. His relatives started noticing that his abdomen is getting distended and his appetite is decreased. They suggested him to see a doctor following which he took a homeopathic treatment in West Bengal But there was no improvement. He also took some ayurvedic medication but nothing seemed to work out. Then he came to our hospital with complaints of abdominal disten...

59 year old female

August 17, 2023

This is a case of a 59 year old professor who is a resident of West Bengal. CHIEF COMPLAINT : Case of Rheumatoid arthritis under medication. HISTORY OF PRESENT ILLNESS- Patient was apparently asymptomatic an year and half ago. Then she felt pain in her left wrist joint which was insidious in onset and gradually progressive in nature. It slowly progressed to the hands and shoulder on both the sides with an increased intensity causing difficulty in daily activities and sleep. She used painkillers which provided relief for sometime. She underwent a physiotherapy for a month. She also took steroid injections twice in a local hospital in West Bengal but the pain reappeared later. There is no history of swellings, morning stiffness, malaise, musculoskeletal pain, weight loss,fever or rash. On February 2022, she went to a specialist in Hyderabad, who suggested her some medications but there was no improvement. Later she went to an OPD in Nalgonda and she got relieved f...

76 year old male with pedal edema

August 07, 2023

76 year old male farmer by occupation came with chief complaints of Pedal edema since 20 days History of present illness Patient was apparently normal 15 years ago he sustained an injury for right leg while working with tractor for which he developed ulcer and was hospitalized for 1 week while then he was diagnosed with Diabetes mellitus on medication.(Metformin 500 mg OD) 3 years ago he developed Blurring of vision in right eye undergone cataract surgery. 3 months ago he developed Blurring of vision in left eye. 25 days ago he developed abdominal distension. 20 days ago patient developed pedal edema in both limbs which was insidious in onset which is of pitting type extending upto the knee. He went to the local hospital and undergone some blood investigations was given some medication.(Details not known) Pitting type of edema aggrevated by walking relieved on lying down. Patient complains of tingling and burning sensation and sobgrade 2 occasionally No...