general medicine

This is an online e-log book to discuss our patient's de-identified health data shared after taking his/her/guardian's 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. Date of admission:21-11-22 CHIEF COMPLAINT:  55 year old Male patient ,farmer by occupation Came to OPD with chief complaint of burning micturition since 2 days ,pedal edema since 2 months HISTORY OF PRESENT ILLNESS: Patient was apparently asymptomatic 6 months back then he developed CKD with pedal edema  3 dialysis completed till now Complaints of burning sensation since 2 days HISTORY OF PAST ILLNESS: K/c/o Hypertension since 20 yrs on medication ( Nicardia 10mg-PO/OD) Not a K/c/o Asthama,Diabetes,epilepsy,TB PERSONAL HISTORY: Appetite-normal Diet-mixed Bowel and bladder Movement-Regular No allergies  Alco...

CHIEF COMPLAINT: 58yr old male patient ,he's a cook by occupation came to casuality with a C/O pain in upper abdomen, with vomitings since yesterday morning. HISTORY OF PRESENT ILLNESS: Patient was apparently asymptomatic upto yesterday  Later he developed pain in upper abdomen Which was sudden in onset Progressive and non radiating and not relieved on medication. H/O Vomiting since today mrng 5-6 episodes,water as content,non projective ,non bilious No H/O fever, constipation, loose stools Patient started drinking alcohol 15yrs back ,he consumes 90ml daily at night.  HISTORY OF PAST ILLNESS: N/K/C/O HTN,DM,CAD,TB,epilepsy,Asthama No past surgical history  PERSONAL HISTORY: Appetite-normal Diet-mixed Bowel and bladder Movement-Regular No allergies  Alcoholic regularly GENERAL EXAMINATION: patient is Conscious,coherent and cooperative  -No pallor -No icterus -No lymphadenopathy -No cyanosis -No clubbing of fingers  VITALS: Temperature-afebrile Pulse rate -90...

 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 box A 61 year old male  came to casuality with c/o abdominal pain on right side and constipation since a day HOPI -patient was apparently alright 3 days ago when he developed pain in the right hypochondrium of the stomach which was sudden in onset and progressive in nature, which increased after eating oily food and decreased on taking medication.Associated with radiation of pain to the back. The patient has no complaint of vomitings  History of constipation since a day. He is now passing fl...

  It 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 box CHIEF COMPLAINT： A 34yr old male patient came with c/o shortness of breath (grade 2) and low grade cough since 20 days  patient is conscious,coherent,cooperative C/o of severe cough,vomitings and diarrhoea  HISTORY OF PRESENT ILLNESS ： patient was asymptomatic 20 days back then developed breathlessness. SOB (grade2) increased on exertion, relieved on taking rest, decreased on sitting position increased on lying down After a week he developed intermittent fever during evening time alo...

A 54yr old female patient came to hospital with a complaint of pain in left hip since one week . Patient is coherent conscious and cooperative. Patient has no signs of pallor or icterus. HISTORY OF PRESENT ILLNESS  she suffered a sudden fall from bed due to which she had tenderness and intense pain in left hip.currently she is on insulin shots due to uncontrolled sugar levels. PAST HISTORY  she is a diabetic since last 5yrs and currently she is using oral hypoglycemic drugs,Glimeprimide and metformin. PERSONAL HISTORY : No loss of appetite  Married  Diet mixed Bowel moment -regular  Addictions-nil Micturation -normal  Patient is hypertensive and she is on medication with AMOLDIPINE n ATENOLOL FAMILY HISTORY  Diabetes -NO Hypertension - NO Heart disease-NO cancer - No Asthma - NO VITALS: TEMP:98.4 F PULSE:95 BPM RESPIRATION RATE: 16 CPR  B. P: 130/90 PLBS: 488 mg/dl Spo2: 98% SYSTEMIC EXAMINATIONS: CVS: THRILLS :NO  Cardiac sounds : S1 S2 card...