62.vennala reddy

1-heart failure:   20.hormones secreted by pituitary gland  19.infective endocarditis  18 .intracranial hemorrhagic  17.anti- hypertensive drugs                        16. Insulin therapy in diabetes mellitus: 11.ascites fluid analysis: 4.pleural effusion: 5.dengue fever: 6.Pepti ulcers: 3.acute renal calculi: 8.tuberculosis: 2.cirrhosis                                                                    12.proton pump inhibitors: 11-fever with rash  10.complications of dialysis:

 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" Date of Admission- 20-12-2021 A _27_ year old male patient  presented to OPD with chief complaints of    Fever  since  4_days HISTORY OF PRESENT ILLNESS Patient was apparently asymptotic  1 week back . He  developed fever 4 days back which is high grade and continuous in onset with severe headache. He then referred to local hospital which is not subsided after taking medication  Patient is suffering with body pains from past 2 days No history of vomitings ,loose stools  No history o

A 48 yr Male  ,came to opd with Acute History of Poisoning near godavarigudem , nalgonda History of present illness: The patient was apparently asymptomatic 12 days ago ( i.e on 23 /11/21 ) He is works as farmer ,he started consuming alcohol from 20 years . -On 20/11/2021 he started drinking alcohol which he didn’t stopped drinking for 2 days.. -on 22/11/2921 morning . In altered stage he consumed profenofos ( 100-150ml ) - An Insecticide. He was taken to local hospital immediately by his wife.  He had 3-4 episodes of  vomitings .He was given gastric lavage. Pralidoxime and Atropine were administered .  -He was then shifted to navya hospital  on 23/11/21 where he went into respiratory failure . He was ET intubated on 24/11/21 @4 pm -Due to financial concerns he was shifted to our hospital on 25/11/21 insedated stage on mechanical ventilator . Patient was intubated as was diagnosed with  Type 2 Respiratory failure along with Intermediate syndrome  (  Muscle weakness and paralysis) ET tu