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Showing posts from October, 2017

A 60 year old femal with lower abdominal pain, oral ulcer, indigestion and insomnia.

                                                              Patient name - oxalis corniculate   Sex - female age - 60 hight - 5.2 ft. Weight - 52. Bali - 70 cm. Cheast - 85 cm. B.p. - 130/ 80. Suger - 105 after food Sir   আমি একটি রোগীর বিবরণ পাটালাম ১.ঘুম ভাল হয় না, বিশেষ করে রাত্রে প্রায়ই ঘুম হয় না ২. রাতকানা রোগ আছে | কিছু রেটিনা নষ্ট হয়ে গেছে |  দৃষ্টি শক্তি আস্তে আস্তে কমে যাচ্ছে ৩. মুখেরভিতরে ঘা আছে.  এটা প্রায়ই দেখা দেয়. ৪ . পিপাসা মোটামুটি ৫ . চিন্তা গ্রস্থ অবস্থায় প্রায়ই থাকে.  এতে রোগের উপসর্গ গুলি বেড়ে যায় ৬. আগে বুকের বাম পার্ষে প্রায় হঠাৎ খোচা দিয়ে বেদনা হত ৭ . হজম শক্তি কম.  মশলা যুক্ত খাবার সহ্য হয় না.  ৮ . রক্তচাপ মধ্যে মধ্যে বেড়ে য...

A 31-year-old woman with chronic Hemolytic anemia and B12 deficiency with Coombs Positvity: Conversations

A 31 year old woman with chronic Hemolytic anemia and pancytopenia since 10 years and hypothyroidism since 6 months with current admission for severe anemia. There is a pansystolic murmur in  mitral and tricuspid area as well as base of the heart (assumed to be an unusual hemic murmur) and there is no obvious organomegaly. She has sparse hair and generalized pallor with bipedal edema. Lab investigations: Patient physical exam findings:  Conversations: Rakesh Dir: Sharing the above historical article for those who joined later Rakesh Dir: Meenakshi please post a picture of the dorsum of her her both hands here taking care to deidentify herhttps://www.ncbi.nlm.nih.gov/pubmed/5302841 Ashwini BMJ: This is certainly an interesting case sir ! I have a couple of doubts- Could she have autoimmune disorders considering hemolytic anemia and hypothyroidism. Is it due to Hashimoto ? Was any workup for sle done ? Is she a candidate for BMT ?  Rake...

Project Text B00K

Conversation opened. 1 read message.   WhatsApp Chat with Project txt book   14/05/2017, 1:20 pm - Messages to this group are now secured with end-to-end encryption. Tap for more info. 14/05/2017, 1:20 pm - Rakesh Dir created group "Project txt book " 14/05/2017, 1:20 pm - Rakesh Dir added you 14/05/2017, 1:25 pm - Rakesh Dir: We may soon have all the material ready to create a text book of Theory questions, conversations and MCQs in Medicine, that could be one of a kind globally. We have a local publisher who is requesting us and once we prepare a word file we can share it with them. We can draw from the patient blogs already created and discussed in Tabula rasa and some of our 8th semester students have already begun to add theory questions and MCQs in their blogs as in the samples shared below 14/05/2017, 1:26 pm - Rakesh Dir: A f...