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How do you treat recurrrent non healing ulcers in Diabetes? Recalcitrant non-healing ulcers are inevitable and detrimental to the lower limb and are a major cause of non-traumatic lower limb amputations. Application of autologous Platelet Rich Plasma (PRP) has been a major breakthrough for the treatment of non-healing and diabetic foot ulcers, as it is an easy and cost-effective method, and provides the necessary growth factors that enhance tissue healing. PRP is a conglomeration of thrombocytes, cytokines and various growth factors which are secreted by α-granules of platelets that augment the rate of natural healing process with decrease in time. What might be the cause of vomitings in a patient of Diabetes? Factors related to your diabetes may cause you to experience nausea. Medication: Metformin is one of the more common medications used to treat diabetes. Nausea is a potential side effect for people taking this medication. Taking metformin on an empty stomach may make nausea worse
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40 YEAR MALE WITH COMPLAINTS OF BOUTS OF VOMITINGS

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This is an online e log book to discuss our patient de-identified health data shared after taking his / her / guardians signed informed consent. Here we discuss our individual patients problems through series of inputs from available global online community of experts with an aim to solve those patients clinical problem with collective current best evident based input. This E blog also reflects my patient centered online learning portfolio and your valuable inputs on the comment box is welcome. Ihave been given this case to solve in an attempt to understand the topic of " patient clinical data analysis" to develop my competency in reading and comprehending clinical data including history, clinical findings, investigations and come up with diagnosis and treatment plan. A 40 years male, resident of chityala, field assistant by occupation came to the opd with chief complaints of vomitings 2 days back History of presenting illness: Patient was apparently asymptomatic 2 days back
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General Medicine internal assessment 8th semester 14th July 2023

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45 yr old male patient with reccurent acute pancreatitis and alcohol dependence syndrome

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THIS IS AN ONLINE E LOG BOOK TO DISCUSS OUR PATIENT'S DE - IDENTIFIED HEALTH DATA SHARED AFTER TAKING HIS / HER /GUARDIAN'S SIGNED INFORMED CONSENT .HERE WE DISCUSS OUR INDIVIDUAL PATIENT'S PROBLEMS THROUGH SERIES OF INPUTS FROM AVAILABLE GLOBAL ONLINE COMMUNITY OF EXPERTS WITH AN AIM TO SOLVE THOSE CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE BASED INPUT  CHIEF COMPLAINTS-  C/o itchy skin lesion on left foot since 10 yrs which initially started as a papule  C/o pain in the abdomen since 3 days C/o constipation since 3days C/o vomitings since 2days HISTORY OF PRESENT ILLNESS-  Pt was apparently asymptotic 2days ago then he developed pain in the abdomen-epigastric region. Pain is sudden in onset, gradually progressive. Pain increases more after eating food and on lying in supine position. Pain is relieved on sitting position and on bending forward.  H/o 3 episodes of vomiting yesterday after eating food. Content- food, non bilious, non projectile, not blood tinged
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General Medicine 1st Internal Assessment

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E log

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General Medicine case presentation Vankadoth Saiteja (3rd sem) roll no 143 Dilliswar Veebhuthi , roll no. 145 Under the guidance of Dr.Vamshi  (PG) This is an online e-log platform to discuss case scenarios of a patient with their guardian's permission. I have been given this case to solve in an attempt to understand the topic of patient clinical data analysis to develop my competency in reading and comprehending clinical data including, history, clinical findings, investigations, and come up with a diagnosis and treatment plan. CASE SCENARIO A 55 yr old patient,(Farmer by occupation) who is a known case of CKD on MHD came with complaints of pedal edema. Chief complaints The patient came to the casuality with chief complaints of pedal edema since 3 days. •HISTORY OF PRESENT ILLNESS -Patient has oedema since 3 days which is insidious in onset and the oedema is pitting type which is of progressive type. -No h/o Burning micturition,decreased urine output,fever,orthopnea PND. • HISTORY
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145 Dilliswar Veebhuthi

  ELOG GENERAL MEDICINE BIMONTHLY ASSIGNMENT AUGUST 2021 August 24, 2021 Dilliswar Roll no 145 3rd sem (2019) This blog is an assessment for questions linked below: https://medicinedepartment.blogspot.com/2021/08/medicine-paper-for-aug-2021-bimonthly.html?m=1 ANSWER 1 : REVIEW FOR ANSWERED QUESTION IN :  https://2018-21batchpgy3gmpracticals.blogspot.com/2021/08/18100006003-case-presentations.html?m=1 LONG CASE :  A 44 year old man presented with a 3-day history of bilaterally symmetrical rapidly progressive generalized edema. *evolution of symptomatology is well described in the illness . * Proper past ,personal ,family ,surgical ,medical and immunization histories are provided. * Differential diagnosis for the conditions he's been in are given .  *classification criteria for rheumatoid arthritis is provided which gives us idea in which category patient is in based on points . *The possible scenarios that can be are described in brief . *Diagnostic approach is mentioned. *After fin
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