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Showing posts from June, 2022

45 year old male with Hyponatremia

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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. Chief complaints: Presented to the casualty with the complaints of sweating and altered sensorium.   HOPI The patient was apparently asymptomatic 10 years ago. He was then diagnosed with Diabetes mellitus and is on OHAs for the past 10 years. He used to work in the Steel factory 6 years ago. 6 years ago, following unnoticed trauma he developed an ulceration on his left foot and little toe which became infected and had to be amputated. He was then also started on Insulin