79M SYNCOPE HTN DM CVA

79M lost his father during his childhood and had been taken care by his elder siblings who also took care of his education. Took degree from polytechnic AIEEE. Built two houses by age 27.At age 28 he got married and had two children( one son and daughter).

His life was smooth until 2000 when he experienced financial crisis through chit fund. His wife was stressed about it and had Brain stroke which took her life away after 5 days. After the loss of his wife he felt lonely and started consuming alcohol which he later stopped.

His elder son did not marry as to take care of the patient. Both stay in their own home taking care of each other. 10 years ago he suddenly had left upper and lower limb weakness, diagnosed with CVA. During the same time he also was found out to be hypertensive and diabetic. He also had hearing difficulties from same time.

Two months ago patients son had to travel to Hyderabad for work purpose, so he put the house for sale. For patient it was an emotional encounter as he built the house by himself and do not want to sell it, so he turns off the offers and send away people who come to enquire any house details

Three days ago patient had sudden onset of giddiness followed by loss of consciousness for thirty minutes, without any postictal confusion, involuntary movements, bowel or bladder disturbances

Since one day patient had complains of generalised weakness and loss of appetite

DAILY ROUTINE

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Cases 1-16

Case 1 https://himajav.blogspot.com/2023/08/53f-metabolic-syndrome.html 53 year old female housewife by occupation resident of coochbihar admitted with complains of generalised weakness since 6 years The patient's medical history reveals that she was asymptomatic until six years ago when she presented with weight loss, xerostomia, and anorexia. She sought medical attention at a local medical facility, where she was diagnosed with Diabetes mellitus and subsequently initiated on oral hypoglycemic agents. Around four years ago, the patient began experiencing generalized asthenia and easy fatigability, leading to the diagnosis of both Hypertension and hypothyroidism. Approximately four years ago, the patient complained of cervical discomfort, prompting a diagnostic consideration of cervical spondylosis. This condition was managed with a course of physiotherapy. Currently, the patient reports intermittent occurrences of generalized asthenia, easy fatigability, and xerostomia. She also...

30M WEIGHTLOSS

A 30-year-old male presented with a history of progressive weight loss over the past year. Symptoms commenced in November 2022 with severe abdominal pain and vomiting, initially attributed to roadside food consumption. Recurrent monthly episodes of abdominal pain, bloating, and vomiting/loose stools persisted until April. Diagnostic workup, including abdominal scan, CBP, ESR, CRP, TTG antibody, LFT, RFT, sputum for AFB, chest X-ray, Quantiferon Gold for TB, and Montoux test, yielded normal results except for elevated CRP. Ayurvedic treatment resulted in symptom improvement, but weight loss persisted. From November 2022 to April 2023, he lost 10 kgs and maintained stability at 48 kgs thereafter. CRP levels correlated with symptom exacerbations, decreasing post-treatment. Presently, he experiences diminished appetite, eating only twice daily, despite previously consuming 4-5 meals. Daily schedule and eating patterns outlined. . [27/11/23, 10:31:59] ~ A: ‎~ A created this group ‎[28...

49F DM2 NUD ABD BURNING SENSATION

NOTE: THIS IS AN ONLINE E LOGBOOK 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 A SERIES OF INPUTS FROM THE AVAILABLE GLOBAL ONLINE COMMUNITY OF EXPERTS INTENDING TO SOLVE THOSE CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE-BASED INPUT. DIAGNOSIS : ACUTE GASTRITIS WITH LOWER ESOPHAGEAL SPHINCTER 49 year old female born by natural delivery on 05-06-1973. Born and bought up in coochbihar North Bengal. Milestones achieved normal. Childhood was pleasant. Went to school by walk 1.5kms near to home. Comes back home and played games like coco, jumping,running, finishes homework and goes to bed. She lives with her family - 9 siblings,parents and grandparents all live together At age 11 she lost her father due to heart stroke secondary to hypertension. She is very close to her younger brother during her childhood but the same relatio...

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