BMJ Elective Case Log

This is a HIPAA de-identified open-online-patient-record with initial information in patient's voice, posted here after collecting informed patient consent (form downloadable  Click Here)   by BMJ Elective Student.  Patient's problem in her narratives: I am a 23 years old women 1.    In 2012, suddenly I started to have abdominal pain and after investigations doctors found that I have renal stone. One month after taking medicines and water, the stone removed out from my body. 2.    In 2015, again I experienced an abdominal pain and after investigation again doctors found renal stone. That time also after taking one month of medicines and water, the stone had removed out from my body. 3.    In 2016, this time I was pregnant and due to burning micturition and abdominal pain I had been investigated which revealed 3 stones in both kidneys. 4.    In 2017, at the beginning and in the month of April, I had a...

Disclaimer:- This is a HIPAA de-identified open-online-patient-record with initial information in patient's voice, posted here December 2017 after collecting informed patient consent (form downloadable Click Here) This is a case of a 55 years old, diabetic, hypertensive patient who was diagnosed with Bipolar affected disorder since 1995. In 1995 due to financial loss he was attacked by this condition. He was seen by Dr. D. K Agarwala and diagnosed as BPAD-Depression phase and treated with lithium, sodium valporate, propranolol, Zeptol cr, Nitrosum - S.  With the treatment he was reasonably well but every 6 months of interval he appeared to have some disturbance like didn't want to talk to anybody, forgot to smile etc. They went to the doctor and treated accordingly and was continuing the treatment.  In the year of 2013, August he was diagnosed with BPAD-severe depression phase but, he was not responding well to the medications and then they went to NIMHANS for...

This patient is a 60 year old woman with recent vomiting, coma (sodium 107) and clinical features of dull apathy, skin coarsening, bradycardia, areflexia strongly suggesting hypothyroidism. Serum osmolality and urine sodium are suggesting SIADH. Thyroid profile: Our patient's current dose of sodium is 10ml per hour and she is having mild hypotension at times and in her blood sugar recordings hypoglycemia (attached below) was noted. In brain imaging, empty Sella is noted (attached below).  Most of the data we have till now is suggesting hypopituitarism Online Discussion:   

This is a case of a 33 year old male who was fine until the age of 6 months when he got his first seizure attack and after consultation with a doctor, he started taking gardenal (Phenobarbital)- 1/2 tablet and then 300 for the next years. He was completely alright until the age of 9 years when he again got that seizure attack and moved to PG hospital where he got continued treatment for next 3 years. He also has a history language delay. From his childhood, he is very obese (not sure if it's overweight or obese) even with lack of appetite. He had jaundice thrice at the age of 8 and got operated for gallbladder in 2012. That time doctor also told him her penis is smell and has reduced sexual desire.Since then he is taking medicines for 5 years and not getting any notion of improvement.  His mother during the 7 months of second pregnancy was fell down without any obvious injury, and gave birth to this second child with normal delivery and everything was fine until the age of 6 ...