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.  The patient is a 59-year-old male who had angina-like chest pain during July 2017 characterizing as “chest burn” and “”mild pressure-like sensation” while walking in the morning on his way to the office. His daughter, who is a medical student, thought of taking him to a cardiologist and performed an ECG and chest x-ray which revealed a cardiomegaly. The cardiologist did ECHO on him and told that has mitral valve regurgitation which was of little concern that time and advised a coronary angiogram (CAG). (Past reports are attached) On the next day, he was taken for a CAG which revealed two blocks (single vessel disease; LCX and LMCA normal; LAD- proximally 30% stenosis; RCA- proximally 60-70% stenosis, PLB 70-80% stenosis at mid part) and then without advisi...

Below are the early conversations around our orlistat project and our early conversational learning attempts to understand it's role in improving diabetes outcomes through its action on the glp1 pathway:  -  The incretin pathway as a new therapeutic target for obesity  Source:  https://www.maturitas.org/article/S0378-5122(10)00246-X/fulltext   1)What are the objectives of the study?   2) Can u share the summary the background literature reviewed of previous studies?    3)Is the permission from ethical committee taken??  4)Please, share the reference for the diet mentioned. And why is it only mentioned for breakfast?   5) Is multivitamin given to the patient along with this? (Usually, orlistat inhibits the absorption of fats and fat-soluble vitamins so the multivitamin is to be given and this is for 12 weeks.  6) I see some gaps in the administration of orlistat.    Let's also discuss why is o...

Slide 1   Good afternoon one and all. This is Dr. Salma post graduate 2nd year from the department of general medicine. Today we will be trying to relate to the pain suffering of one our patient who had travelled from West Bengal to get relieved of her pain.  Slide 2 The patient had travelled from West Bengal to narketpally as she had been suffering from pain in the right hypochondrium and pelvis radiating to the back since the past 2 months. Also had complaints of pain in the left hypochondrium and loin since the past 15 days. The pain was continuous, no aggravating or relieving factors were noted. For the pain she was given inj. Buscopan and was asked to get a usg abdomen done.                                                   Slide 3 Ultrasound abdomen revealed a endometrial polyp and intramural fibroid. Enlarged right ovary ...

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.  The history below is translated from the original Bengali content in the patient's own voice: 1. I am 35 years old. Whenever I want to drink water it gets stuck in my throat and as a result, I can not drink water. Then after belching it passes down to stomach, and following that I get hyperacidity. I have a problem with hyperthyroidism. I have these problems since last 10 years. 2. I can not take fasting and cannot take food because of that. 3. I went to Hyderabad earlier in a city hospital, but they didn't prescribe many medicines and said that my upper part of the esophagus got narrowed. (Pantacid LA, Diaval liquid [?], Gelecase syrup [?]). 4. I have no other personal medical history. One of my brothers has low "bodh shokti' (couldn't ...

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.  When he was in class 7 (aged 12 years), he started to get lethargy, fatigue, low IQ, less active, angriness, increased hunger with increasing weight gain. When he was about to start his 8 th standard classes, he was taken to a local doctor who diagnosed him with hypothyroidism. The local doctor prescribed him 50 mcg thyroxine and when he was taken to another doctor for a second opinion, the doctor increased the dose to 150 through 75 mcg. Which they continued with repeated follow-up and after checking with the tests. The dose was increased as per the doctor is due to his growing age (that doctor also said if he takes this medicines for 2 years, it will be cured). They continued at this dose (150 mcg) for 1.4 years followed by 175 mcg (due to derangement...