In one of my previous posts, I talked about the importance of clinical diagnosis. Even though the initial ECG was normal, due to my strong clinical suspicion, I went for a second, a specific blood test, and my suspicion came true for an acute heart attack. Today, I am going to share another short story where my clinical suspicion was incorrect. A relevant investigation was quite useful in that regard!
A teenager came with abdominal pain. He also vomited for a few episodes. There was no fever, no urinary problem, and no diarrhea. On examination, I found significant tenderness in the right lower abdominal area. Examination didn't elicit tenderness in other areas. Considering the location of the tenderness, my provisional diagnosis was a case of acute appendicitis. I referred him to the higher center!
Later, I called his father to learn about the final diagnosis. They went to the higher center and did an ultrasound scan. The test didn't reveal the features of an acute appendicitis. The doctor labelled it as a case of dyspepsia/indigestion. An investigation helped the doctor confirm a diagnosis.
Often, poor patients hesitate to do the investigations and ask for medicines only! We give the management according to the scenario, without the relevant investigations. But investigations help us to prescribe specific medicines!
This free-for-use is taken from Pixabay. Credits to mannharr there]
My Saturday was pretty busy at work, especially the evening shift. In total, I consulted 40 patients in my chamber, two-thirds of them visited in the evening shift. A good number of school students came with seasonal flu symptoms.
At home, I had a second round of morning sleep after the Fajr prayer. In the afternoon, I skipped the afternoon nap. I was able to walk on the treadmill for 10 minutes. According to the Fitbit app, I made 10,207 steps on Saturday!
CENT is one of the tribe tokens on HIVE! It is an active community and a captain (anadolu)! We get regular update about the token and tribe from him and from the community account called centtoken! We can earn $CENT tokens by adding #cent tags in our posts!
The project gives us a chance to farm our CENT tokens! We can delegate the tokens to the community account (centtoken) and earn SWAP.HBD weekly!
For example, for delegating 39,240 CENT tokens, this week I earned 0.078 SWAP.HBD!
I was amazed with the beauty, attractive color, and unique features of 15 birds featured in this 27 minutes long video! You won't feel bored!
Thanking you
Hafiz