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Showing posts from July, 2023

A case of 80 year old female

This is an online E log book to discuss our patient's de-identified health data shared after taking his/her/guardian's  consent. This E log book also reflects my patient-centered online learning portfolio and your valuable inputs in the comment box below. Note : This is an ongoing case and will be updated regularly.  A 80 year old female, currently not working (used to be farmer by occupation),resident of Haliya was referred to medicine department with  complaints of low haemoglobin level  HISTORY OF PRESENTING ILLNESS Patient was apparently asymptomatic 2 months ago when she developed when she developed a swelling in perianal region which was insidious in onset and gradually progressive associated with fever. 15 days ago,  the swelling eventually ruptured and was associated with discharge which was not associated with any discoloration or blood tinged , dull aching pain for which she was taken to a near by RMP where discharge was cleaned, dressing was done and IV antibiotics w