7 Life stages

Medical Cases at Various Life Stages

1 - Fetal stage - Hydrocephalus in a 7-month-old fetus and currently a healthy new born baby  http://bmjcaselogvivek.blogspot.com/2017/10/hydrocephalus-in-7-month-old-fetus-and.html

2 - Neonate - A 49 days old infant baby with persistent Jaundice since 3 weeks http://bmjcaselogvivek.blogspot.com/2017/10/a-49-day-old-neonate-baby-girl-with.html

3 - Child - An 18 Year Old Girl with Recurrent Fever http://bmjcaselogvivek.blogspot.com/2017/10/an-18-year-old-girl-with-recurrent-fever.html
Continued back pain of my daughter aged six and half years Past three months http://care.udhc.co.in/INPUT/displayIssueGraphically.jsp?topic_id=331

4 - Adult - Pregnancy that changed her life http://sivapuramsai.blogspot.in/2017/05/pregnancy-that-changed-her-life.html?m=1

5 - Middle age - Suspected diaphragm palsy http://www.udhc.co.in/INPUT/displayIssueGraphically.jsp?topic_id=1313

6 - Old age - Dolls eye movement http://sivapuramsai.blogspot.com/2017/05/copd-with-infarct-dvt-pneumo-thorax.html

7 - Death - 60F with Coma, E Coli sepsis and upper motor neuron signs with albumino cytological dissociation in CSF. http://classworkdecjan.blogspot.in/2016/12/60f-with-coma-e-coli-sepsis-and-upper.html?m=1


1) Empathy (Text Prose Poetry)
2) Sketches. Paintings
3) Sculptures, sand/clay/stone art
4) Music
5) Video
6) Drama
7) Innovation

Consent Forms for BMJ Elective Students

- consent form Online Forum English - here
- consent form BMJ  English - here

- consent form BMJ Telegu - here
- consent form Online Forum Telegu - here

- consent form Online Forum Hindi - here
- consent form BMJ Hindi - here

- consent form Online Forum Bengali - here
- consent form BMJ Bengali - here

Using Fever Chart

There are regular monitoring of patients in ICU for fever and also sometimes patients are advised to make a fever chart so that clinician can better understand the disease and condition of patient.

Here is a temperature chart made with excel to plot it automatically and accurately.

1) click link to get access temperature chart

https://docs.google.com/spreadsheets/d/1nkemyO_WaB0TMWbpKfhUVcnbfZco8l-MZ0XwJFSZIZc/edit#gid=0


2) For each new patient go on top left in chart, click on File, then click on make a copy.
A new copy of fever chart will open, rename it as anything you want.  (not recommended to rename based on patient identifier as that not HIPAA compliant).

3) now in Time column enter date time as (mm/dd/yyyy) 1/22/2017 14:00:00 and in temperature column enter temperature as degree F

4) Chart will be made automatically. only enter 4 hourly values if need 4 hourly chart.



Fig 1- Hourly chart


Fig2- 4 hourly chart

64 - year old patient with recent diarrhoea after a stroke and past diabetes

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.

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.

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

second surgery (6 month after 1st)

failure of 2nd surgery in a month

3rd surgery

Crack in cement of 3rd surgery in 6 month.

some spinal X-Rays

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.

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