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14F Sikle cell tibial pain Telangana PaJR

14F with SLE [7/15/2022, 12:31 PM] Dr Rakesh Biswas Sir Hod Gm Kam: @⁨saicharankulkarni⁩ @⁨Dr Vinay Gm Kam⁩ Can you check with admin PGs if our pharmacy is not keeping ranitidine. Didn't want to give her PPIs because of renal scare [7/15/2022, 3:32 PM] pt advocate : Pyna unna mandulu vesina pain thagutaledu memu  general wardulo unnamu [7/15/2022, 3:34 PM] Dr. NARSIMHA Jnr GM Kam: Naproxen Ye Time ki Vesaru ?? [7/15/2022, 3:58 PM] pt advocate: Mokalu pain thagutaledu [7/15/2022, 3:58 PM] pt advocate: RR [7/15/2022, 4:08 PM] Dr Rakesh Biswas Sir Hod Gm Kam: Alright @⁨Dr. NARSIMHA Jnr GM Kam⁩ Check her serum creatinine and give her injection Voveran im once now. Who will be looking after the wards at night? Please inform them [7/15/2022, 4:22 PM] pt advocate: Mokalu pain akkuvaga unnaduna  adustunadi [7/15/2022, 4:26 PM] Dr. NARSIMHA Jnr GM Kam: Ok Sir [7/15/2022, 4:29 PM] pt advocate: Emergency lo chepinchani sir [7/15/2022, 4:31 PM] pt advocate: Emergency lo chepinchani sir [7/15/2
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29F SLE CKD Severe Hypertension CCF Telengana PaJR

[11/11/2022, 8:43 AM] Dr Rakesh Biswas Sir Hod Gm Kam: What's the population of NKP?  In one of our previous patients from Mothkur we realized we couldn't use that identifier. One of the deidentification guidelines suggests that areas identified with the patient, needs to have a population of 20,000 Mothkur has a population of 12,000 as of 2011 and hence I went with associating her only with the state name.  One could have mentioned her district Yadadri which has a population of 770,000 Let us all PaJR volunteers remember to please check the population of the location before we code our patient in association with that location. [11/11/2022, 9:16 AM] saicharankulkarni: Narketpalle Mandal of Nalgonda district has total population of 50,864 as per the Census 2011. Out of which 25,916 are males while 24,948 are females. In 2011 there were total 12,770 families residing in Narketpalle Mandal. https://www.censusindia.co.in/subdistrict/narketpalle-mandal-nalgonda-andhra-pradesh-4634
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20F Lupus paJR

[2/1, 8:39 AM] saicharankulkarni: Spoke to this patient and her father today, she has no complaints except swelling of face ( ? iatrogenic Cushings ). She was on Oral prednisone 20 - x - 10mg, tappered to 10mg twice daily using since 3 days. They are in a plan to visit our OPD in 2-3 days sir.. [2/1, 8:51 AM] Dr Rakesh Biswas Sir Hod Gm Kam: Did you try to find out more about her possible neurodegenerative disorder that you brought out in the conference? [2/7, 11:47 PM] saicharankulkarni: Came for review today Complaints of difficulty in sitting on floor, difficulty in getting up from chair since 1 month,  O/e  Facial swelling+ Hump behind the neck + B/L lower limb Proximal muscle weakness + Hyperreflexia of all DTR + since 4 months Abdominal striae + on lateral aspect of abdomen and knee B/L fine tremors + Amenorrhea since 4 months ( LMP in october ) Bp - 110/70mmhg Pr - 78bpm [2/8, 8:16 AM] Dr Rakesh Biswas Sir Hod Gm Kam: So is her current proximal myopathy due to Cushing's or P
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