Shailesh Patil

 This is an online e-log book to discuss our patient's de-identified health data shared after taking his/her/guardian's informed consent. Here we discuss our individual patient's problems through a series of inputs from an 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-related online learning portfolio and your valuable inputs on the comment box.  Consent and de-identification: The patient and the attenders have been adequately informed about this documentation and privacy of the patient is being conserved entirely. No identifiers shall be revealed throughout this piece of work.  20 year old female who is a student came to casuality with c/o - * Pain abdomen since 2 days * Vomitings since 2 days * Hypopigmentated lesions over face since 4 months HISTORY OF PRESENTING ILLNESS Patient was apparently asymptomatic 2 days back, the

 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 . Long case :   70 year old male who is a resident of Nalgonda who is survived with two kids caste to the casualty with complaints of :  1. Weakness of right upper limb and lower limb since 6 months  2. Slurring of speech since 6 months  2006: Patient was apparently asymptomatic 25 years back then he observed right lower limb weakness for which he was given home remedies and was subsided by 2 months was able to go to work by 2months   2013 : Patient had met with an RTA and sustained

 Case of a 45 yr old female, school teacher by profession.  History: since menarche, her periods are irregular, happening 10-15 days late than expected. In 2004, pt had accompanied her mom to a hospital for her uterine tumor Sx (mom's). During that time she was also screened for uterine tumor by Dr. USG was done which revealed gall stone. Sx was done within 2 months. Pt had no complaints or symptoms related to gallstone. In 2004, while staying in the hospital to get her gallstone operated on, she was diagnosed with hypothyroidism. Since then on medication. In 2007, she c/o lightheadedness while at school. Later went to a Dr. who found her to be hypertensive. Since then BP under control with medication. In 2013, she c/o dizziness and malaise. Dr. detected DM. DM is under control with medication. In 2019, while doing a whole-body checkup, USG was done which detected liver cirrhosis. Pt went to AIG, Dr. after doing tests prescribed atoz multivitamin tab along with another medication w

  This is an online e log book to discuss our patient de-identified health data shared after taking his / her / guardians signed informed consent. Here we discuss our individual problems through series of inputs from available global online community of experts with an aim to solve those patients clinical problem with collective current best evident based input. This E blog also reflects my patient centered online learning portfolio and your valuable inputs on the comment box is welc I have been given this case to solve in an attempt to understand the topic of " patient clinical data analysis" to develop my competency in reading and comprehending clinical data including history, clinical findings, investigations and come up with diagnosis and treatment plan Chief complaints c/o slurring of speech since today morning Deviation of mouth to Right side since today morning Weakness of left upper limb since today mornin  Hopi Patient was apparently alright 6months back then he had

 THESIS TOPIC CLINICAL PROFILE AND THERAPEUTIC OUTCOMES IN PATIENTS WITH NON ALCOHOLIC FATTY LIVER DISEASE NAME OF THE STUDENT : DR.SHAILESH SAMBHAJI PATIL ( PG 2020-2023) DEPARTMENT OF GENERAL MEDICINE KAMINENI INSTITUTE OF MEDICAL SCIENCES, NARKETPALLY UNIVERSITY: KALOJI NARAYANA RAO UNIVERSITY OF MEDICAL SCIENCES,TELANGANA. HEAD OF THE DEPARTMENT OF GENERAL MEDICINE : DR RAKESH BISWAS . MBBS , MD GENERAL MEDICINE ( PGIMER, CHANDIGARH ) GUIDE: DR A.PRAVEEN NAIK , MBBS , MD ( GENERAL MEDICINE )    ASSOCIATE PROFESSOR , DEPARTMENT OF GENERAL MEDICINE CO GUIDE : DR NAGESHWAR RAO , MEDICAL GASTRO ENTEROLOGIST BACKGROUND – It was the Roman anatomist Galen who made the liver the principal organ of the human body, arguing that it emerged first of all the organs in the formation of a fetus It Is a tough job for the liver to keep the cleaning function of the body especially with the present-day unhealthy eating and drinking habits of people. Non-alcoholic fatty liver disease (NAFLD) is a br

 55 year old woman, resident of Narketpally, housewife, came to surgery OPD with pain abdomen since 1 week.  Known hypertensive since 1 year ( on medication )  Known smoker and betal leaf addiction since 20 years. Patient was apparently asymptomatic 7 days ago when she started developing dull aching type of pain in right upper quadrant radiating to back without any aggravating or relieving factors. Also complaints of constipation since 3 days with non blood stained stools.  No complaints of fever, vomiting , belching , burning micturation .  on examination patient was afebrile and conscious and coherent. vitals stable maintaining saturations on room air with only pain abdomen as sole complaint.  Pre op  reports :  Usg abdomen showed cholelithiasis i/v/o which Elective Laparoscopic cholecystectomy was planned on 12th december.  Post op Hemoglobin readings showed decreasing trends ( fall of 2g/day ) in view of which internal bleeding was suspected and Re exploratory surgery under general