BMJ Elective Case Log

Disclaimer:- This is a HIPAA de-identified open-online-patient-record with initial information in patient's voice, posted here February 2017 after collecting informed patient consent (form downloadable Click Here)   by BMJ Elective Student.  The journey of a patient which is rais ing multidimensional issues of both diagnostic challenge, therapeutic challenge & patients uncertainty:   ⇒ A 66 years-old-female presented to the emergency department with the complaints of left-sided chest pain for last 3 months which radiates to arm & shoulder and increases with cough. She also complaints of cough & pain in the abdomen & hoarseness of voice.  ⇒ She was admitted in the hospital with the same complaints 6 months back. Her past medical history is significant for hypertension (diagnosed 1 & 1/2 years back), osteoporosis D6, vocal cord palsy. On examination:  ⇒ On admission, patient was investigated for         - Chest X-Ray (P/A & La

Disclaimer:- This is a HIPAA de-identified open-online-patient-record with initial information in patient's voice, posted here February 2017 after collecting informed patient consent (form downloadable Click Here)   by BMJ Elective Student.  Journey of a patient from getting typical symptoms of "Anemia with Hb 2.9 gm/dl" to " Hb 11.1 gm/dl with improvement in symptoms" within one and half months: Story before 1.5 months: Patient was presented to OPD with the complain of chest pain, shortness of breath and bilateral leg swelling with no history of blood loss. Patient was reasonably well 7 days prior to presentation . ↧                                                   ↧ Lab investigations were ordered that turned out to have very low HB level (2.9 gm/dl) [All the reports are attached]                             ↧ Patient was diagnosed with Iron deficiency anemia and prescribed with ferrous fumarate 150mg (OD) for 15 da

Disclaimer:- This is a HIPAA de-identified open-online-patient-record with initial information in patient's voice, posted here February 2017 after collecting informed patient consent (form downloadable Click Here)   by BMJ Elective Student.  According to patient's relative: (Patient's Story) 1. In 1985 patient was presented to a doctor with the complain of muscle pain in leg, shaking fever and after different kind of tests patient was diagnosed with rheumatic heart diease (RHD) followed by valvotomy of the affected valve.  2. In 2007, the patient was unable to digest food properly and met a local doctor. After different kind of tests doctor told that his both valves were damaged and so both should be replaced. After about 4 years, patient underwent second heart surgery with double prosthetic valve replacement.  3. In 2017 (2 days prior to admission), after returning from daily work at night, he could not take normal dinner as he used to take and got suddenly