76easha chandrika

  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:...

 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 s...

 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...

 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 38 YRS OLD WITH VIRAL PYREXIA AND THROMBOCYTOPENIA  Chief complaints: Fever since 4days Nausea and vomiting since 4days  Headache since 3days  HISTORY OF PRESENTING ILLNESS:  The patient was apparently asymptomatic 4 days back and then he devloped: Fever with associated chills and rigors Retroorbital headache, vomiting which is non bilious immediately after intake of food ,vomitus contains food particles and non projectile for which he was admitted at area hospital No h/o of bleeding gums No h/o of hematemesis.                  No h/o of burning micturition No h/o of hem...

 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 40 YRS OLD WITH SEVERE ANEMIA AND GENERAL WEAKNESS  Chief complaints: A 40 year old female hailed from valigonda presented to the causality with chief complaints of Heavy bleeding during periods since 2yrs Diminished vision since 1yr General weakness since 3 months  Headache since 3 month  HISTORY OF PRESENTING ILLNESS:  The patient was apparently asymptomatic 2 years back and then she had • heavy menstrual bleeding and prolonged duration of period for 7days for every 28days of cycle ( previously it was 3days for every 28days of cycle ), with no h/o passage of clots • diminished vision for past 1year, •then devel...

 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 66 YRS OLD WITH ENTEROCOCCUS INFECTION  Chief complaints: A 66 year old male hailed from bhuvanagiri presented to the OPD with chief complaints of Itching all over the body since 5 yrs Painful pustules and blisters since 3 days HOPI: Patient was normal 5 yrs back and then devloped itching all over the body on and off 3 months back Patient took blackmagic treatment then he devloped painful lesions 10 days back over both the legs and hand PAST HISTORY: DM since 5yrs HTN since 3yrs no h/o similar complaints in the past FAMILY HISTORY : nill significant  PERSONAL HISTORY: Mixed diet Appetite-normal Sleep-adequate  Bow...