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Showing posts from November, 2022

A 16 year old male present with fever and epistaxis

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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 patient's clinical problems with collective current best evidence based inputs.  This E log book also reflects my patient-centered online learning portfolio and your valuable inputs on the comment     A 16 year old male patient, student, was brought to casualty with chief complaints of bleeding from nose since 4 days and fever since 4 days. HISTORY OF PRESENTING ILLNESS: Patient was apparently asymptomatic 4 days back and then he developed fever which was high grade, continuous type and associated with chills and rigors. It was relieved temporarily on medications. Patient also had bleeding from nose since 4 days, recurrent type, occurring 2-3 times per day, each episode lastin