General medicine

  Hi, this is Anupreethi Reddy, a medical student currently studying in KIMS Narketpally. This page is a compilation of cases taken up during my medical school years, with an intent to correlate theoretical concepts of medicine to practical aspects of it. These E-logs have been created after taking consent from the patient and the patient's advocate. So welcome, and I encourage you to immerse yourselves into these interesting cases. NOTE: THIS IS AN ONLINE E LOGBOOK 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 A SERIES OF INPUTS FROM THE AVAILABLE GLOBAL ONLINE COMMUNITY OF EXPERTS INTENDING TO SOLVE THOSE CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE-BASED INPUT. An 80 year old male patient, farmer by occupation, resident of Nalgonda came to the hospital with  CHIEF COMPLAINTS  of cough and difficulty in breathing since 2 years, whic

E LOG GENERAL MEDICINE. Hi, I am Anupreethi Reddy, 6th Sem Medical Student. This is an online e-log book to discuss our patient's health data shared after taking his/her/guardian's consent . This also reflects patient centered care and online learning portfolio. This E-log book also reflects my patient-centered online learning portfolio and of course, your valuable inputs and feedbacks are most welcome through the comments box provided at the very end. HAPPY READING.  * This is an ongoing case. I am in the process of updating and editing this ELOG as and when required.                                    CASE SHEET.                                            CHIEF COMPLAINTS AND DURATION A 74 year old male patient came to opd with the chief complaints of swelling in left lower leg on Thursday afternoon. HISTORY OF PRESENT ILLNESS  Patient was apparently asymptomatic    5 days ago then he developed swelling on his left lower leg progressive in nature, aggravated on walking, relie

  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/