General medicine

  Note: This is an online E Log book recorded by Anupreethi to discuss and comprehend our patient's     de-identified health data shared, AFTER taking his/her/guardian's signed informed consent. Chief complaints: Fever since 2 weeks, dry cough since 2 weeks, joint pains since 2 weeks HOP1: 35 yr old female patient housewife by occupation brought to casualilty with fever, cough and joint pains(knee joint, ankle joint, metacarpophalangeal joint . She had high grade, continuous fever    associated with chills and rigors. She had similar fever with joint pains in June 2020 and June 2022 for which she went to local hospital and treated conservatively. Negative History : No History of Headache,Hypertension,diabetes,Vomiting ,Chest Pain,Palpitations and Shortness of Breath, asthma  Past illness: patient was asymptomatic 12 years back and she developed abnormal uterine bleeding and swelling of uterus fibroids for which hysterectomy was done. History of epilepsy at the age of 6 years, u

  Note: This is an online E Log book recorded by Anupreethi(20) Anirudh(11) to discuss and comprehend our patient's     de-identified health data shared, AFTER taking his/her/guardian's signed informed consent. Chief complaints: Fever since 3 days, vomitings 5 episodes(13th June 2022), unable to walk since 1 day. HOP1: 30 yr old female patient sweeper by occupation brought to casualilty with fever and vomitings. She had low grade, intermittent fever which relieves on medication not associated with chills and rigors. She had 5 episodes of vomitings which contained food particles, non projectile and non foul smelling. She needed support for walking. Negative history: no history of shortness of breath, cough, loose stools, asthma,tuberculosis, diabetes Past illness- hypertension since 2 years(Telmisartan-drug) Personal History: Mixed diet Bowel And Bladder-Regular   Sleep Adequate  No Allergies And Addictions. Family History: not significant  General Examination:  Patient is Consc

  Chief complaints: shortness of breath (7-10 days) grade 3 to grade 4   Palpitations: 7 days   Pedal edema: 2 days HOP1: 35 yr old male patient bartender by occupation brought to casualilty with sob and cough. Negative history: no history of vomitings, fever, loose stools, asthma,tuberculosis, hypertension Past illness- shortness of breath since 1 month progressed last 10 days.Alcoholic since 15 years. Personal History: Mixed diet Bowel And Bladder-Regular   Sleep Adequate  No Allergies And Addictions. Alcoholic  Family History: mother has shortness of breath General Examination:  Patient is Conscious,  Moderately Built and Nourished. Pallor Absent Icterus Absent Clubbing Absent Cyanosis Absent Lymphadenopathy Absent Edema Present  Vitals :  Temperature - afebrile  Pulse    140-160/min B.P 130/90mmHg SpO2:98% GRBS: 132mg% Lab diagnosis: Treatment:  Inj Amidarone 900mg Inj Augmentin 1.29 IV Inj Pan 40 Inj Optineuron Amp Inj Thiamine 200mg Inj Hyrocort 100mg  Fluid restriction <1.5L/

Chief complaints: decreased responsiveness HOP1: 75 yr old male patient farmer by occupation brought to casualilty  with decreased responsiveness 5:00 am.On examination, his blood glucose level was 43mg/dl. Negative History : No History of Headache,Fever,Vomiting ,Chest Pain,Palpitations and Shortness of Breath. Past history: Patient had similar complaints of decreased responsiveness 5 years ago due to low blood glucose levels and was diagnosed with diabetes mellitus,  treated for that in a local hospital.On diabetic medication. Other- Hypertension  Coronary artery disease  Asthma  Epilepsy  Alcoholic since 45 years  Treatment History : For Diabetes  Glimda-MV 2 Personal History: Mixed diet Polydipsia polyuria polyphagia Bowel And Bladder-Regular   Sleep Adequate  No Allergies And Addictions. Alcoholic  Family History: not Significant  General Examination:  Patient is Conscious,  Moderately Built and Nourished. Pallor Absent Icterus Absent Clubbing Absent Cyanosis Absent Lymphadenopath

  Chief complaints: altered sensorium,difficulty in walking ,loss of speech,weakness of right upper limb and right lower limb HOP1: Patient is diabetic since 11 years and hypertensive since 1 year  During recent regular health checkup Blood Glucose level was 350 mmol/L and blood pressure was 280mm Hg. Later that day she developed giddiness and was unable to walk properly so was brought to the hospital. Negative History : No History of Headache,Fever,Vomiting ,Chest Pain,Palpitations and Shortness of Breath. Past history:  She was diagnosed with diabetes 11 years ago when she went to a doctor in her locality due to frequent urination. High Bp was noticed during regular blood glucose level checkup.  On medication(diabetic and anti hypertensive drugs) Treatment History : For Diabetes -Dapaglifozin 10mg                              -Metformin 500mg For Hypertension : Telma 40mg  Cilindipine 10mg Metoprolol 50mg Personal History: Vegetarian Appetite Normal Bowel And Bladder-Regular   Sleep