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Gen med blog :fever and cough with sputum

  This is case of 83yr old male came with complaints of cough with sputum since 4 days,breathlessness since 4 days. Patient was apparently asymptomatic 4days back then he developed  cough which was insidious in onset, gradually progessive associated with sputum which was white in colour ,copious  amount. Fever since 4 days,high grade, associated with chills and rigors Breathlessness since 4 days which was insidious in onset , gradually progressive from grade 2 to grade 4 No h/o chest pain, orthopnea,pnd, palpitations,pnd PAST HISTORY: Patient is not a known case of Hypertension, Diabetes mellitus, TB, Epilepsy, Bronchial asthma, Thyroid disorders PERSONAL HISTORY: Diet - Mixed Appetite - decreased Sleep - Adequate Bowel and Bladder movements- Regular Addiction - consumption of alcohol occassionally,h/o smoking since 30 yrs (1pack per day) GENERAL EXAMINATION  Patient is conscious, coherent and cooperative and well oriented to time, place and person He is moderately built There is prese
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Gen med elog

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  35YR MALE WITH C/O ABDOMINAL SWELLING This is an online E log book to discuss our patient's deidentified health data shared after taking his/her/guardian's signed in formed 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 . A 35 year old male house contractor by occupation from Miryalaguda came to general medicine OPD with chief complaints of swelling in feet and abdomen since 2days  Tingling sensation,cought since 1 week , difficulty in intake of food. History of presenting illness:  Patient was apparently asymptomatic 2days back then he developed edema in lower limbs  which is  insidious in onset gradual in progression  and pitting type? and then he developed  swelling in abdomen insidious  onest gradual progression h/o nausea ,tiredness and tingling sensation after eating food 
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GEN MEDICINE 2 ND INTERNAL

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Gen med e log

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  Hi, This is M.Easha chandrika, a eight semester medical student. This is an e-LOG depicting patient's de-identified data centered approach for learning medicine. This log has been created after taking consent from patient and his family. Here we discuss about patient's problems with a series of inputs with an aim to solve them. A 70 YRS OLD WITH CHRONIC RENAL FAILURE  Chief complaints: for dialysis  HOPI : Patient was apparently asymptomatic 8months ago then he developed difficulty in breathing and pedal edema. Then he was taken to hospital and was diagnosed with renal failure. HISTORY OF PAST ILLNESS: k/c/o:HTN-since 10yrs k/c/o: DM since 10 yrs PREVIOUS HISTORY: He was on dialysis for 10 times till date. TREATMENT HISTORY:  TAB.LASIX-40mg PO/BD TAB.NICARDIA-20mg PO/TID TAB.ARKAMINE-0.1mg PO/BD TAB.ECOSPIRIN-75/10 PO/OD TAB.NIDOSIS-50mg PO/BD TAB.OROFER-XT PO/BD INJ.EPO 4000V-SC weekly once INJ.HAI SC/TID Salt restriction-<2g per day PERSONAL HISTORY: Appetite:normal Diet
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GENERAL MEDICINE E-log

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 E-LOG GENERAL MEDICINE   Hi, This is Easha chandrika, an eighth semester medical student. This is an e-LOG depicting patient's de-identified data centered approach for learning medicine. This log has been created after taking consent from patient and his family. Here we discuss about patient's problems with a series of inputs with an aim to solve them. A 45 YRS OLD WITH PARAPARESIS SECONDARY TO HYPOKALEMIA Chief complaints: Weakness of both upper and lower limbs since 4days HOPI : Patient was apparently asymptomatic 4 days ago then she developed weakness in both upper and lower limbs but she managed to do her daily activities at home. Then she could not manage to walk after she got up from bed in the morning and had a fall. Then she was headed to the hospital in ambulance.In ambulance her BP was 170/80mmHg so driver gave inj:LASIX HISTORY OF PAST ILLNESS: Not a k/c/o HTN,DM,epilepsy,asthma,CAD,TB,CVA,thyroid disorder. H/o:Bilateral renal calculi  H/o:TAH with bilateral salping
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GEN MED E LOG 3SEPT

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 E-LOG GENERAL MEDICINE Hi, This is easha chandrika, a fifth semester medical student. This is an e-LOG depicting patient's de-identified data centered approach for learning medicine. This log has been created after taking consent from patient and his family. Here we discuss about patient's problems with a series of inputs with an aim to solve them. A 59 YRS OLD WITH  acute gastroenteritis  Chief complaints: fever since one day associated with chills and rigour   also was suffering with loose stools since yesterday  HOPI : Patient was apparently asymptomatic 1day ago then he developed high grade fever which was associated with chills and rigours followed by several episodes of loose stools which were not blood stained and not foul smelling in each episode, the stools produced are yellow in colour ,large volume and of watery consistency .he also had  5 episodes of vomiting since yesterday.  He was also discovered to be HIV positive in this hospital.  there was no  history blood
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