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Showing posts from September, 2022

22 year old man with stomach pain, vomiting and loose motions

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Hi, I am Souraja Acharya, 3rd 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. Chief complaints A 22 year old man who just finished his Btech and is a resident of Miriyalguda presented to the OPD with stomach pain from front to back, vomiting since 6 days and loose motions since 4 days.  History of present illness Patient was asymptomatic a week back TUESDAY- continuous vomitings and motions WEDNESDAY-6 times motions, 4 times vomiting THURSDAY- 3 times motions, 3 times vomiting The stool was watery in consistency, not foul smelling and there was no blood. FRIDAY- went to a local hospital in Miriyalguda where the doctor asked him to get a RFT done and a USG.  Report-- Creatinine-6. 4 Blood urea-68 USG- mild mild raise echogenicity of both kidneys, renal parenchyma changeswith RFT correlation.  Then, he got admitted in our

A 61 year old man with involuntary movements, fever and shortness of breath.

Hi, I am Souraja Acharya , 3rd 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. Chief complaints A 61 year old man who is a resident of Ramannapet presented to the OPD complaining of shortness of breath, fever, dry cough since 3 days,and involuntary movements in the right hand since 3 years. He is also experiencing a burning sensation in the chest.  History of present illness Patient was asymptomatic few months back. Then he developed  which was relieved on medication. Since 3 days, he has burning sensation in  and difficulty in breathing in supine position.  History of past illness No diabetes No hypertension No CAD no asthma No syphilis No epilepsy Family history No significant family history Allergies No allergies Personal history PHYSICAL EXAMINATION general examination Conscious Non coherent Non cooperative Well buil

A 47 year old female presented with shortness of breath, pedal edema, distended abdomen and lymphadenopathy

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Hi, I am Souraja Acharya, 3rd 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. Chief complaint A 47 year old woman who is a housewife presented to the OPD with shortness of breath, abdominal pain and distension, pedal edema and itching in the whole body. The patient complained of Shortness of breath since 10 days, itching since 1 month, Backpain since 7 days and abdominal pain since 7 days. Patient also complains of itching in the whole body and swollen feet and abdomen.  History of present illness Patient was asymptomatic 4 months back. 4 months back, patient developed abdominal distention and pain which subsided on receiving diuretics. A month later, she developed edema in the legs as well for which she presented to the OPD.  (Enter daily routine)  History of past illness Patient has been suffering from type 2 diabetes