Disclaimer:-
This is a HIPAA de-identified open-online-patient-record with initial information in patient's voice, posted here december 2016 after collecting informed patient consent (form downloadable here) by BMJ Elective Student.
Tuesday, 31 January 2017
43 F- Familial polyposis ( colectomy or polypectomy?)
This is a HIPAA de-identified open-online-patient-record with initial information in patient's voice, posted here december 2016 after collecting informed patient consent (form downloadable here) by BMJ Elective Student.
Haemoglobin very low everytime <4, blood in stools, since 6-7 years
aviced- colectomy by one surgeon, polypectomy by another. needs discussion.
Sunday, 29 January 2017
Telemedicine - 62 F - Hip fracture, multiple surgeries and failure for same with long term complications
A 62 year F Hip fracture, multiple surgeries and failure for same with long term complications
Disclaimer:-
This is a HIPAA de-identified open-online-patient-record with initial information in patient's voice, posted here december 2016 after collecting informed patient consent (form downloadable here) by BMJ Elective Student.
I was unable to stand up while sitting, so dr. said some problem in spinal cord and gave medicine, i also started using commode etc in lifestyle.
around 1 year ago i fell down and broke my hip joint, since then i had multiple surgeries and all failed, i am bed ridden, doctor asked me to try walking without a walker but i was not even stand without walker and its even difficult to walk with a walker. so i am always on bed, sitting. i was a working female but now i can't even stand.
after 1st surgery in few months i became unable to move my knee also but after physiotherapy it went fine but again in sometime it went bad and more surgeries happened for my hip.
observation:- reflexes are normal, always having pain, more while trying to moove,
Had some spinal problems - 8 years ago
Hip fracture fracture 1 year ago
after 1st surgery
some days after 1st surgery
in 3 months, it became extremely difficult to moove left knee, started physiotherapy
informed by another doctor about failed surgery
failure of 2nd surgery in a month
3rd surgery
Crack in cement of 3rd surgery in 6 month.
some spinal X-Rays
Saturday, 28 January 2017
23 F Diabetic Female
Disclaimer:-
This is a HIPAA de-identified open-online-patient-record with initial information in patient's voice, posted here december 2016 after collecting informed patient consent (form downloadable here) by BMJ Elective Student.
mariz ko aaj se 4 mahine pahle tak koi samasyaa nahi thi...
pahli samasyaa 3 mahine pahle pet dard ki hui thi jo ki kuch samay baad theek ho gai fir dhere dhere ek nai samasyaa hone lagi jo ki kuch bhi khana khane ke baad shouch jane ki samasyaa thi...
sath hi pet dard ki samasyaa bhi shuru ho gai. tab se aaj tak nirantar yah samasyaa chal rahi hai. abhi 11 din pahle is samsyaa k liye hospital me dikhane gaye to wahan suger ki samasyaa ka pata chala hai...
mariz roz mainde ka bana item khati thi...
aur mahine me kareeb 2 se 3 baar tak cold drink peeti thi.
Physician Notes:The patient's blood sugars were managed with oral secretagogues like glibenclamide (Daonil) as well as Metformin and low dose of short acting Insulin before every meal was added to fill the deficit.
The trends in her sugar values is reflected in the uploaded graph.
Physician Notes:The patient's blood sugars were managed with oral secretagogues like glibenclamide (Daonil) as well as Metformin and low dose of short acting Insulin before every meal was added to fill the deficit.
The trends in her sugar values is reflected in the uploaded graph.
Update rains 2015:
injection site rashes with increased nocturnal pruritus: Need to change the type of insulin?
Various Graph showing current trends of blood glucose fluctuations.
(dates are suggestive and have been changed)
More previous records
