Leela

73 year old man presented with the complaints of Dragging pain in the left inguinal region since 2 months Patient was admitted under general surgery for left inguinal hernia and left varicocele. Patient was eventually taken up by us in view of ecg changes. Ecg shows Lbbb along with increased PR interval (240msec) 2decho was done which showed heart failure with reduced Ejection fraction 35% with LAD akinesia and hypokinesia of RCA and LCX territory However the patient gives no complaints of Dyspnea, chest pain, giddiness, orthopnea and PND.  He gives a history of getting operated for? Right inguinal hernia 10 years back   He had no previous complaints of chest pain, Dyspnea, orthopnea, PND but was told to have a heart problem and had to undergo CAG on routine investigations CAG was done 7 years back ( no documentation available). On examination: PR - 78bpm Bp - 100/70mmhg Afebrile Jvp - not raised Cvs: Apex beat in left ICS, 1cm lateral to MCL S1, S2+ Lungs - clear on ausc...

Unit 3: Interns: Dr .Leela  Dr Harsha  Dr Archana Dr Kalyan  Dr Jeehariki Dr Raveen PGY1 Dr Aashitha PGY2 Dr Aravind PGY3 Dr Vamshi PGY3 Dr Hareen SR Dr Praveen Naik Ass Prof DR. RAKESH BISWAS HOD 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 i have seen: Admission under unit 3: 3/2/2021 63 year old man presented to the causalty with the complaints me Chest pain since 5 days Dyspnea at rest since 5 days Dysphagia since 2 days Throat pain since 2 days  Patient was apparently alright...

Unit 3: Interns: Dr .Leela  Dr Harsha  Dr Archana Dr Kalyan  Dr Sahithi  Dr Jeehariki Dr Raveen PGY1 Dr Aashitha PGY2 Dr Aravind PGY3 Dr Vamshi PGY3 Dr Hareen SR Dr Praveen Naik Ass Prof DR. RAKESH BISWAS HOD 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 i have seen: Admission under unit 3 on 27/01/2021 was a farmer By occupation  presented to casualty with Complaints of  Deviation of angle of  Mouth to right side since one day   Slurring of speech since...