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TC(1457).(05). Orthopedics Department Case No (191):-Tibia and Fibula Fractures Anatomical Levels, Clinical Definitions, Classifications, Prescription-Ready X-ray Orders, Conservative and Operative Management.

Publication title (প্রকাশনার শিরোনাম): Tibia and Fibula Fractures: Anatomical Levels, Clinical Definitions, Classifications, Prescription-Ready X-ray Orders, Conservative and Operative Management

October 29, 2026 No Comments

TC(1456).(06).Psychiatry Department Case No (66): Indever 10 mg (Propranolol) — Nervousness কমাতে কতটা কার্যকর? বৈজ্ঞানিক প্রমাণ, ডোজ ও সতর্কতা।

Department: Psychiatry (মনোরোগ বিভাগ)Secondary Category: PharmacologyTC (Total Case): 1456DCS (Department Category Serial): 06Department Case Number: 66Content Type: Evidence-Based Medical Education

October 29, 2026 No Comments

TC(1455).(12). ENT Department Case No (105): Physician-Documented Probable Acute Tonsillitis (Acute TS), Etiology Unconfirmed. (1Prescription + 0Report + 0Image)5566

Prescription attached:- Proposed Publication Title | প্রস্তাবিত প্রকাশনার শিরোনাম TC(1451).(12). ENT Department Case No (104): Physician-Documented Probable Acute Tonsillitis (Acute

October 29, 2026 No Comments

TC(1454).(07). Neurology Department Case No (65): Physician-Documented Parkinson’s Disease with Right Upper-Limb–Predominant Tremor, Reported Osteoarthritis, Subjective Memory Decline and Insomnia; Elevated Office Blood Pressure and Rhonchi (1Prescription+0Report+0Image)0909

Prescription attached:- Clinical Focus / আলোচ্য বিষয়: Parkinson’s Disease with Right Upper-Limb–Predominant Tremor, Reported Osteoarthritis, Memory Decline and Sleep Disturbance.

October 29, 2026 No Comments

TC(1453).(05).Orthopedics Case No (190):-🦴 Ilizarov Ring খোলার পর কতদিনে হাঁটা শুরু করবেন? সম্পূর্ণ ভর দেবেন, নাকি হালকা ভর?

Ilizarov Ring Removal: Walking, Weight Bearing, Bone Healing & Rehabilitation অনেক রোগীর পায়ের হাড় ভেঙে যাওয়া, হাড় জোড়া না লাগা

October 29, 2026 No Comments

TC(1452).(12).ENT Department Case No (104): Right-Sided Nasal Obstruction with History of Epistaxis — Suspected Structural Nasal Abnormality with Possible Coexisting Rhinitis; Intranasal Lesion to Be Excluded (1 Prescription + 0Report + 0Image).2789

Prescription attached:- 🩺 LIPU MED — FULL CLINICAL CASE REVIEW. Website-Verified Case Number | Prescription Analysis | Clinical Working Diagnosis

October 29, 2026 No Comments

TC(1451).(05). Orthopedics Department Case No (189): Severe Low Back Pain with Possible Bilateral Lower-Limb Radiation, Associated Urinary Frequency and Suspected Osteoporosis — Clinical Diagnosis Under Evaluation (1Prescription + 0Report + 0Image)1122

Prescription attached:- 🟧 LIPU MED — FULL CLINICAL CASE REVIEW Proposed Website Publication Title — প্রস্তাবিত প্রকাশনার শিরোনাম বাংলা রোগনির্ণয়:

October 29, 2026 No Comments

TC(1450).(05).Orthopedics Case No 188:-Chronic Posterior Cruciate Ligament Injury with Suspected Post-Traumatic Knee Osteoarthritis Following Previous Tibial Plateau Fracture(1Prescription+0Report+0image)7799

Prescription attached:- 🟧 LIPU MED — FULL CLINICAL CASE REVIEW বাংলা রোগনির্ণয়: হাঁটুর পুরোনো Posterior Cruciate Ligament (PCL) আঘাত, পূর্ববর্তী

October 28, 2026 No Comments

TC(1449).(12). ENT Department Case No (103):-Gross Left-Sided Deviated Nasal Septum (DNS) with Suspected Coexisting Allergic Rhinitis(1Prescription+0Report+0image)1133

Prescription attached:- 🟧 LIPU MED — FULL CLINICAL CASE REVIEW Prescription Analysis | Clinical Working Diagnosis | MedEx Drug Review

October 28, 2026 No Comments

TC(1448).(01). Cardiology Department Case No (50): Chronic Coronary Disease, Status Post PCI (2022), with Mildly Reduced Left Ventricular Ejection Fraction (LVEF 41%), Elevated Office Blood Pressure and Possible Chronic Stable Angina.(1Prescription+0Report+0Image)7700

Prescription attached:- Evidence-Based Prescription Analysis | English + বাংলা Proposed Publication Title: 🫀 LIPU MED — FULL CLINICAL CASE REVIEW

October 28, 2026 No Comments

TC(1447).(09). Gynecology Department Case No (55):- Suspected Primary Subfertility Under Evaluation, Possible Ovulatory Dysfunction (NOT CONFIRMED) (1Prescription+1Report+0ClinicalImage)2277

🩺 USG Pregnancy Profile — সম্পূর্ণ ক্লিনিক্যাল বিশ্লেষণ রিপোর্টের তারিখ: ০১ অক্টোবর ২০২৬রোগীর বয়স: ২৫ বছরপরীক্ষা: Ultrasonography of Pregnancy ✅

October 28, 2026 No Comments

TC(1446).(05). Orthopedics Department Case No (187):-Documented United Tibia–Fibula Fracture with Ilizarov External Fixator In Situ: Planned Frame Removal and Short-Leg Backslab Application (1Prescription+2Xray-Report+0image)(Lipu Case)5577

🟧 LIPU MED — FULL CLINICAL CASE REVIEW 1Prescription+2Xray Report Attached:– Proposed Publication Title — প্রস্তাবিত প্রকাশনার শিরোনাম Physician-Documented United

October 27, 2026 No Comments

TC(1445).(23).Urology Department Case No (27):-Undifferentiated Lower Urinary Tract Symptoms with Dysuria, Suspected Overactive Bladder, Physician-Documented NASH, Long-Standing Diabetes Mellitus and Sleep Disturbance (1Prescription+0Report+0ClinicalImage)2211

Prescription attached:- বাংলা রোগনির্ণয়: প্রস্রাবের সময় জ্বালাপোড়া বা ব্যথাসহ মূত্রতন্ত্রের নিম্নাংশের উপসর্গ; অতিসক্রিয় মূত্রথলি থাকার সম্ভাবনা; চিকিৎসকের নোটে নন-অ্যালকোহলিক স্টিয়াটো-হেপাটাইটিস

October 26, 2026 No Comments

TC(1444).(09).Obstetrics & Gynecology Department Case No54:-Early Pregnancy (~8 Weeks) with Lower Abdominal Pain — Suspected Pregnancy-Related Pelvic Pain; Rule Out Ectopic Pregnancy, Urinary Tract Infection and Early Pregnancy Complications.(1Prescription+0Report+0image)3300

Prescription attached:- বাংলা রোগনির্ণয়: প্রায় ৮ সপ্তাহের সম্ভাব্য গর্ভাবস্থায় তলপেটে ব্যথা। জরায়ুর বাইরে গর্ভধারণ, মূত্রনালির সংক্রমণ এবং গর্ভাবস্থার প্রথম দিকের

October 26, 2026 No Comments

TC(1443).(19).Gastroenterology Department Case No (57):-Possible Acid-Related Upper GI Disorder with Possible Anxiety–Depressive Symptoms — Diagnosis Unconfirmed (1Prescription+0Report+0Image)4455

Prescription attached:- 🟠 Website-Verified Pharmacological Review | Evidence-Based Clinical Assessment Case category: Gastroenterology + Psychiatry + Gynecology + Geriatric Medicine

October 26, 2026 No Comments

TC(1442).(05). Orthopedics Department Case No (186):Complete Right Knee ACL Tear with Associated Posterior Horn of Medial Meniscus Injury(1Prescription+0Report+0Image)2277

Prescription attached:- বাংলা রোগনির্ণয়: ডান হাঁটুর সামনের ক্রুশিয়েট লিগামেন্ট (ACL) সম্পূর্ণ ছিঁড়ে যাওয়া এবং মিডিয়াল মেনিস্কাসের পেছনের অংশে আঘাত। Clinical

October 26, 2026 No Comments

TC(1441).(02). Dermatology Department Case No (105) — Suspected Inflammatory Dermatosis with Possible Secondary Bacterial Infection & Insomnia (সম্ভাব্য প্রদাহজনিত চর্মরোগ, অতিরিক্ত ব্যাকটেরিয়াল সংক্রমণের সম্ভাবনা ও অনিদ্রা)(Prescription 1+Report 0+Image 0).0933

Prescription attached:- 🩺 LIPU MED — Full Bilingual Clinical Prescription Review Working diagnosis: Suspected inflammatory dermatosis of undetermined type, possible

October 26, 2026 No Comments

TC(1440).(35).Endocrinology Department Case No (53):- Type 2 Diabetes Mellitus with Markedly Uncontrolled Hyperglycaemia and Dyslipidaemia (1Prescription+0Report+0ClinicalImage).789

Prescription attached:- 🩺 LIPU MED — FULL CLINICAL CASE REVIEW Prescription Analysis | Clinical Working Diagnosis | Drug Review |

October 26, 2026 No Comments

TC(1439).(11).Pediatric Case No(166):-Recurrent Pediatric Ischemic Stroke with Epilepsy and Left Hemiparesis — শিশুদের পুনরাবৃত্ত ইস্কেমিক স্ট্রোক, মৃগীরোগ ও শরীরের বাম পাশের দুর্বলতা(1Prescription+0Report+0Image)5577

Prescription attached:- Recurrent Pediatric Arterial Ischemic Stroke with Epilepsy শিশুদের বারবার ইস্কেমিক স্ট্রোক ও মৃগীরোগ Department: Pediatric Neurology — শিশু

October 26, 2026 No Comments

TC(1438).(50). Physical Medicine & Rehabilitation Department Case No (07): Low Back Pain with Bilateral Lower-Limb Paresthesia — Suspected Lumbar Radiculopathy vs Peripheral Neuropathy (দুই পায়ে ঝিনঝিনসহ কোমরব্যথা ও সম্ভাব্য স্নায়ুর সমস্যা)।(1Prescription+0Report+0Image)3344

Prescription Attached:- Low Back Pain with Bilateral Leg Tinglingদুই পায়ে ঝিনঝিনসহ কোমরব্যথা — Clinical Case Review Proposed: TC(1435).(50). PM&R Case

October 26, 2026 No Comments

TC(1437).(12).ENT Department Case No (102):-Symptomatic Adenoid Hypertrophy with Nasopharyngeal Airway Narrowing and Coexisting Allergic Rhinitis (1Prescription+3Report+0ClinicalImage)0909

Adenoid Hypertrophy — 3 Source Reports | 17-Section Case Record Prepared by: Md.Rafiqul Islam Lipu Source-preserving edition: original test values

October 26, 2026 No Comments

TC(1436).(22).Oncology Case No 37:-Metastatic Ca Left Breast (Stage IV, ER+/PR+/HER2−) with bone ± liver metastases — responding to treatment(Report 6+0PRES+0IMAGE).7799

DX Bangla meaning:-বাংলা অর্থ: বাম স্তনের চতুর্থ পর্যায়ের ক্যান্সার, যা হাড়ে ছড়িয়েছে এবং লিভারেও ছড়ানোর শক্তিশালী প্রমাণ রয়েছে। জুন ২০২৬-এর

October 25, 2026 No Comments

TC(1435).(15). Pain Medicine Department Case No (01): Acute Low Back Pain & Neck Muscle Spasm — Pridinol vs Tenoxicam vs Cyclobenzaprine (0Prescription+0Report+0ClinicalImage)

LIPU MED | EVIDENCE-BASED THERAPEUTIC CASE REVIEWDraft for category: Pain Medicine | Status: NOT published to live website | 25

October 25, 2026 No Comments

TC(1434).(02). Dermatology Department Case No (104):-Undifferentiated Penile Pain/Lesion — Suspected Balanitis/Balanoposthitis with Possible Fungal or Bacterial Infection (1Prescription+1Report+0ClinicalImage)1122

1Prescription+1 Report attached: 🩺 LIPU MED — FULL CLINICAL CASE REVIEW Evidence-Based Prescription Analysis | Working Diagnosis | MedEx Bangladesh

October 24, 2026 No Comments

TC(1433).(12).ENT Case No 101:-Symptomatic Gross Left-sided DNS with Bilateral Inferior Turbinate Hypertrophy.(PRES 1) 1133

Prescription attached:- Clinical Prescription Review & Final Working Diagnostic Assessment ENT — Nasal Obstruction with Gross Left-sided Deviated Nasal Septum

October 24, 2026 No Comments

TC(1432).(09).Gynechology Case No 53:- P/D: AUB (Etiology undetermined) with elevated TSH (? Primary Hypothyroidism). (Prescription 1)8799

Prescription attached:- PRESCRIPTION ANALYSIS & CLINICAL DIAGNOSTIC ASSESSMENT Based on Gynecology, Endocrinology, NICE, ACOG, FIGO Guidelines & MedEx Bangladesh Patient:

October 24, 2026 No Comments

TC(1431).(48).Surgery Department Case No 04. Suspected Foreign Body Granuloma

Foreign Body Granuloma (ফরেন বডি গ্রানুলোমা) কী? 1. Definition (সংজ্ঞা) Foreign Body Granuloma হলো এক ধরনের Chronic Granulomatous Inflammation, যেখানে

October 24, 2026 No Comments

TC(1430).(19).Gastroenterology Case No 56:-Endoscopically Documented Erosive Gastritis (1Prescription+3Report+0Image)8899

Clinical Report Review — Gastroenterology Case Patient: ৩৩ বছর, পুরুষInvestigation date: ২০ অক্টোবর ২০২৬Reports reviewed: Whole Abdomen USG, Ultrasonography Images

October 23, 2026 No Comments

TC(1429).(19).Gastroenterology Case No 55:-Peptic Ulcer Disease with Gastric Fundal and Post-bulbar Duodenal Ulcers (3Prescription+1Report+0Image)1177

pper GI Endoscopy Report — Complete Clinical Assessment রিপোর্ট বিশ্লেষণ, অস্বাভাবিক অংশ লাল বক্সে চিহ্নিত, বাংলা অর্থ, Diagnosis, Treatment ও

October 23, 2026 No Comments

TC(1428).(24).Hepatology Case No (23):- HBsAg Non-reactive (Historical), Hepatitis B Vaccination Assessment (1Prescription+1Report+0Image)3344 Lipu case.

1Report+1 Prescription Analysis:- HBsAg Report Analysis — Clinical Interpretation & Working Diagnosis রিপোর্টের তারিখ: ১২ জুলাই ২০২১ | বিশ্লেষণ: ২২

October 22, 2026 No Comments

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Category: Medical Blog

TC(1457).(05). Orthopedics Department Case No (191):-Tibia and Fibula Fractures Anatomical Levels, Clinical Definitions, Classifications, Prescription-Ready X-ray Orders, Conservative and Operative Management.

TC(1456).(06).Psychiatry Department Case No (66): Indever 10 mg (Propranolol) — Nervousness কমাতে কতটা কার্যকর? বৈজ্ঞানিক প্রমাণ, ডোজ ও সতর্কতা।

TC(1455).(12). ENT Department Case No (105): Physician-Documented Probable Acute Tonsillitis (Acute TS), Etiology Unconfirmed. (1Prescription + 0Report + 0Image)5566

TC(1454).(07). Neurology Department Case No (65): Physician-Documented Parkinson’s Disease with Right Upper-Limb–Predominant Tremor, Reported Osteoarthritis, Subjective Memory Decline and Insomnia; Elevated Office Blood Pressure and Rhonchi (1Prescription+0Report+0Image)0909

TC(1453).(05).Orthopedics Case No (190):-🦴 Ilizarov Ring খোলার পর কতদিনে হাঁটা শুরু করবেন? সম্পূর্ণ ভর দেবেন, নাকি হালকা ভর?

TC(1452).(12).ENT Department Case No (104): Right-Sided Nasal Obstruction with History of Epistaxis — Suspected Structural Nasal Abnormality with Possible Coexisting Rhinitis; Intranasal Lesion to Be Excluded (1 Prescription + 0Report + 0Image).2789

TC(1451).(05). Orthopedics Department Case No (189): Severe Low Back Pain with Possible Bilateral Lower-Limb Radiation, Associated Urinary Frequency and Suspected Osteoporosis — Clinical Diagnosis Under Evaluation (1Prescription + 0Report + 0Image)1122

TC(1450).(05).Orthopedics Case No 188:-Chronic Posterior Cruciate Ligament Injury with Suspected Post-Traumatic Knee Osteoarthritis Following Previous Tibial Plateau Fracture(1Prescription+0Report+0image)7799

TC(1449).(12). ENT Department Case No (103):-Gross Left-Sided Deviated Nasal Septum (DNS) with Suspected Coexisting Allergic Rhinitis(1Prescription+0Report+0image)1133

TC(1448).(01). Cardiology Department Case No (50): Chronic Coronary Disease, Status Post PCI (2022), with Mildly Reduced Left Ventricular Ejection Fraction (LVEF 41%), Elevated Office Blood Pressure and Possible Chronic Stable Angina.(1Prescription+0Report+0Image)7700

TC(1447).(09). Gynecology Department Case No (55):- Suspected Primary Subfertility Under Evaluation, Possible Ovulatory Dysfunction (NOT CONFIRMED) (1Prescription+1Report+0ClinicalImage)2277

TC(1446).(05). Orthopedics Department Case No (187):-Documented United Tibia–Fibula Fracture with Ilizarov External Fixator In Situ: Planned Frame Removal and Short-Leg Backslab Application (1Prescription+2Xray-Report+0image)(Lipu Case)5577

TC(1445).(23).Urology Department Case No (27):-Undifferentiated Lower Urinary Tract Symptoms with Dysuria, Suspected Overactive Bladder, Physician-Documented NASH, Long-Standing Diabetes Mellitus and Sleep Disturbance (1Prescription+0Report+0ClinicalImage)2211

TC(1444).(09).Obstetrics & Gynecology Department Case No54:-Early Pregnancy (~8 Weeks) with Lower Abdominal Pain — Suspected Pregnancy-Related Pelvic Pain; Rule Out Ectopic Pregnancy, Urinary Tract Infection and Early Pregnancy Complications.(1Prescription+0Report+0image)3300

TC(1443).(19).Gastroenterology Department Case No (57):-Possible Acid-Related Upper GI Disorder with Possible Anxiety–Depressive Symptoms — Diagnosis Unconfirmed (1Prescription+0Report+0Image)4455

TC(1442).(05). Orthopedics Department Case No (186):Complete Right Knee ACL Tear with Associated Posterior Horn of Medial Meniscus Injury(1Prescription+0Report+0Image)2277

TC(1440).(35).Endocrinology Department Case No (53):- Type 2 Diabetes Mellitus with Markedly Uncontrolled Hyperglycaemia and Dyslipidaemia (1Prescription+0Report+0ClinicalImage).789

TC(1437).(12).ENT Department Case No (102):-Symptomatic Adenoid Hypertrophy with Nasopharyngeal Airway Narrowing and Coexisting Allergic Rhinitis (1Prescription+3Report+0ClinicalImage)0909

TC(1436).(22).Oncology Case No 37:-Metastatic Ca Left Breast (Stage IV, ER+/PR+/HER2−) with bone ± liver metastases — responding to treatment(Report 6+0PRES+0IMAGE).7799

TC(1435).(15). Pain Medicine Department Case No (01): Acute Low Back Pain & Neck Muscle Spasm — Pridinol vs Tenoxicam vs Cyclobenzaprine (0Prescription+0Report+0ClinicalImage)

TC(1434).(02). Dermatology Department Case No (104):-Undifferentiated Penile Pain/Lesion — Suspected Balanitis/Balanoposthitis with Possible Fungal or Bacterial Infection (1Prescription+1Report+0ClinicalImage)1122

TC(1433).(12).ENT Case No 101:-Symptomatic Gross Left-sided DNS with Bilateral Inferior Turbinate Hypertrophy.(PRES 1) 1133

TC(1432).(09).Gynechology Case No 53:- P/D: AUB (Etiology undetermined) with elevated TSH (? Primary Hypothyroidism). (Prescription 1)8799

TC(1431).(48).Surgery Department Case No 04. Suspected Foreign Body Granuloma

TC(1430).(19).Gastroenterology Case No 56:-Endoscopically Documented Erosive Gastritis (1Prescription+3Report+0Image)8899

TC(1429).(19).Gastroenterology Case No 55:-Peptic Ulcer Disease with Gastric Fundal and Post-bulbar Duodenal Ulcers (3Prescription+1Report+0Image)1177

TC(1428).(24).Hepatology Case No (23):- HBsAg Non-reactive (Historical), Hepatitis B Vaccination Assessment (1Prescription+1Report+0Image)3344 Lipu case.

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