Elog

 1)Anatomical diagnosis -? Glomerulosclerosis                                                                        Etiological diagnosis -  ?? Nephrotic syndrome secondary to the diabetic nephropathy or CKD.     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 c...

  Hello everyone! This is Likitha, an intern posted in General medicine department.   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 which I have seen:- A 38 year old male patient has come to the opd on 04/09/20. He had 2 episodes of involuntary movements of both upper limb and lower limb with frothiness from mouth, up rolling of eyes which lasted for 2 minutes.  No  h/o involuntary micturition and tongue bite. No h/o chest pain, shortness of breath, weakness and deviation of mouth. The...