29 Janani Chimaladinne

A 67 yr old male patient farmer by occupation resident of AP lingotam came to OPD with complaints of pain abdomen since 4 days Chief complaints Pain abdomen since 4 days  History of present illness Patient was apparently asymptomatic 4days ago then he developed pain in abdomen which is insidious in onset,gradually progressive ,dragging type,aggravated on doing work,after consumption of alcohol,not associated with nausea,vomitings No history of constipation  h/o burning micturition No h/o fever,cough,cold Past history N/k/c/o HTN,asthma,epilepsy,TB,CAD,CVA No h/o surgeries in the past No h/o blood transfusion No h/o radiation exposure Recently diagnosed with Diabetes Personal history Diet :mixed Appetite: decreased since 4 days Sleep : adequate Bowel movements : regular Burning micturition Addictions: regularily consumes alcohol                About 90ml/ day                  Since 30 years...

A 65yr old male patient masion by occupation resident of nalgonda came to old with  Chief complaints of  -fever-4 days  -pain abdomen -4 days  -decreased urine output -6 days -burning micturition-6 days  History of present illness : Patient was apparently asymptomatic 1 week ago then he developed decreased urine output since 6 days which is insidious in onset and gradually progressive,he also developed abdominal pain in right side of the abdomen since 4 days which is insidious in onset gradually progressive, episodic and sharp type radiating from right upper quadrant to epigastric region which is associated with back pain ,no aggravating factora but relieved on medication. History of fever since 4 days which is low grade and intermittent. H/o burning micturition present Constipation since 6 months  History of past illness:  N/k/c/o diabetes, hypertension,asthma,tuberculosis ,epilepsy No past medical history Personal history: Diet : mixed Appetite:norm...

This is 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.This e-log book also reflects my patient centered online learning protfolio and your valuable inputs on comment box is welcome A 30 yr old male who is a student resident of suryapet came to general medicine OPD with chief complaints of involuntary stiffening of left upper and lower limbs sence 18 yrs. HISTORY OF PRESENTING ILLNESS:           Patient was apparently asymptomatic 18 yrs back then he started developing involuntary movements and stiffening of left upper and lower limbs associated with up rolling of eyes,froathing, headache,loss of language,fear, anxiety, apnea,stertoreus breathing...

 

A 50 yr old female who is a agricultural labourer came to OPD with complaints of bilateral pedal edema, shortness of breath and chest pain. Cheif complaints Chest pain Shortness of breath Bilateral pedal edema History of present illness She was apparently asymptomatic 4 days back and developed pain in the chest which was non radiating type  and not associated with sweating and palpitations Bilateral pedal edema( pitting type upto knees) No aggregating and relieving factors History of past illness She was known case of hypertension and on irregular medication . No h/o diabetes mellitus,TB, epilepsy,asthma. Hysterectomy 15 yrs back  Personal history Married Diet : mixed Appetite: normal Bowels : regular Micturition is abnormal increased frequency of urine. No known allergies Family history No f/ h/o diabetes, hypertension,TB ,asthma, epilepsy. General examination No palor No cyanosis No icterus No lymphadenopathy No clubbing No malnutrition  Bilateral pedal edema is present...

Ch Janani Roll no. 29 A female patient aged 74 yrs  came to the OPD with chief complaints of fever  ,shortness of breath ,and she had altered sensorium. Chief complaints Fever ( 7 days) Shortness of breath(4 days ) Altered sensorium ( 2-3 days) History of present illness Patient was apparently asymptomatic 10 days back and She was admitted to hospital by her family due to loss of consciousness,fever,loss of speech and altered sensorium. History of past illness N/k/c/o diabetes mellitus,CAD and CVA hypertension,TB, epilepsy,no previous surgeries. She is a known case of asthma using inhalers ( duration not known) Personal history She is married Diet : mixed Bowel and bladder movements: normal  Appetite: normal No allergies No addictions Drug history: used pain killers for pain and swelling of lower limbs General examination  Palor No cyanosis No icterus No clubbing of fingers Pedal edema present ( pitting type )  Moderately built No Lymphadenopathy Vitals   T...

Ch Janani Roll no .29 A 28 yr female patient resident of Surat came to OPD with chief complaints of left side flank pain, shortness of breath and dysuria. Cheif complaint Left side flank pain Dyspnoea One episode of hematuria and dysuria History of present illness Patient was apparently asymptomatic 15yrs ( i.e in 2007 ) she had complaints of loss of weight and appetite for which she was diagnosed as pulmonary tuberculosis and on started on anti tubercular therapy .But she discontinued the treatment and she was kept of 8 months ATT.and in 2020 she developed low back ache for which she was diagnosed as renal calculi.now she came to our hospital with c/o left flank pain , dyspnoea grade 2,one episode of hematuria. History of past illness Hematuria,k/c/o tuberculosis in childhood No h/o of diabetes , hypertension, epilepsy and no previous surgeries. Personal history Married Appetite:normal  Diet : mixed  Bowels: irregular  Micturition:normal  Non alcoholic non smoker an...