BMJ Elective Case Log

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 with central hypervascularity.possibility of ovarian neoplasm. Slide 4 MRI pelvis was done the same day which revealed an enlarged rig

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 in the th

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.  This is 60 years old women, housemaid by occupation, presented with this painful, itchy and discharging lesions (image attached) over the chest and naval area. She first noticed this lesion 15 days back and since then it has progressively spread. She is hypertensive on medication and has IHD (?she vaguely mentioned about it). She is a very poor housemaid and can not afford to visit any skin specialist.

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.  January 2010 : I had a bike accident but at that time I had no serious injuries, I just had fallen down from bike. Only my right great toe was injured. December 2010 : During winter, I started playing badminton game and I started suffering from shoulder pain radiating from the scapular region to my arm. I thought the pain was due to playing games. So whenever I had pain I took a painkiller. The pain remained even after I stopped playing. I consulted with an orthopaedic surgeon in Kushtia, Bangladesh (my hometown). I did an x-ray of the cervical spine, the disc spaces between c4, 5, 6 were mildly reduced. So he thought that the pain was due to nerve root compression. He prescribed me muscle relaxants and cervical collar for 2 wks. But there was no improvement a