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Ortho

COMPOUND RIGHT FOREARM BOTH BONE FRACTURE (RADIUS AND ULNAR SHAFT -DISTAL ONE THIRD) WITHOUT ANY NEUROVASCULAR DEFICIT. ORIF + PLATING FOR RADIUS AND ULNA PATIENT CAME WITH THE ALLEGED HISTORY OF FALL (SLIP) AT HER HOME IN RAMANGUDEM ON 19/11/2020 AT AROUND 7.30 PM. PATIENT IS COMPLAINING OF PAIN AND SWELLING OF RIGHT FOREARM SINCE THE FALL. NO HISTORY OF HEAD INJURY,LOSS OF CONSCIOUSNESS,ANY ENT BLEED,VOMITINGS,SEIZURES. NOT A KNOWN CASE OF DIABETES,HYPERTENSION,TB,ASTHMA,THYROID,EPILEPSY,CAD. GENERAL EXAMINATION- PATIENT IS CONSCIOUS,COHERENT,COOPERATIVE,MODERATELY BUILT AND MODERATELY NOURISHED. SHE IS AFEBRILE. BP-120/90 MM HG PR-84 BPM SPO2-100% RR-24 BPM CVS-S1 AND S2 + R/S- BLAE + CNS-NAD P/A-SOFT AND NON TENDER LOCAL EXAMINATION OF RIGHT FOREARM- TENDERNESS + SWELLING + DEFORMITY+ CREPITUS + DISTAL PULSES-PRESENT ACTIVE TOE MOVEMENTS + NO WRIST DROP PATIENT WAS CLINICORADIOLOGICALLY DIAGNOSED AS COMPOUND RIGHT FOREARM BOTH BONE FRACTURE (RADIUS AND ULNAR SHAFT -DISTAL ONE THIRD
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Biweekly assessment

    "57 year old man with jaundice, pedal edema and abdominal distension since three years and bleeding gums since three days" https://swathibogari158. blogspot.com/2020/09/chronic- decompensated-liver-disease. html 1) What is the reason for this patient's ascites?  Ans.  The cause for ascitis might be cirrhosis of liver because the patient is a chronic alcoholic since 40 years.  2) Why did the patient develop bipedal lymphedema? What was the reason for the recurrent blebs and ulcerations and cellulitis in his lower limbs?   Ans. Bilateral pedal oedema may be due to the decrease in the levels of albumin (long standing cirrhosis).  The ulcerations are due to limited movements (improper dressings).  3) What was the reason for his asterixis and constructional apraxia and what was done by the treating team to address that?   Ans. Asterixis is a clinical sign that describes the inability to maintain sustained posture with subsequent brief, shock like, involuntary movements. Th
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 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's a case that I saw of a 22 year old with Pedal Oedema and Shortness of Breath-  A young daily wage labourer presented with complaints of bilateral lower limb swelling from past 1 month, patient also had complaints of shortness of breath on exertion since 20 days which progressed to SOB at rest from the last 5 days. For these complaints pt was taken to a nearby hospital and started on medication (no documentation) which he eventually stopped after 3 days claim
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