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Showing posts from June, 2022

GENERAL MEDICINE E-log

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NAME: A Sanvith ROLL NO: 09  21/06/2022 This is an online E log platform to discuss our patient's de-identified health data shared after taking his/her/guardian's signed informed consent. I have been given this case in order to solve in an attempt to understand the topic of patient's clinical data analysis to develop my competency in reading and comprehending clinical data and come up with a diagnosis and treatment plan. A 36 year old male cement factory worker by occupation came to the opd with chief complains of abdominal distension and abdominal pain which is in right loin radiating to groin associated with decreased urine output since 5 days HISTORY OF PRESENT ILLNESS: Patient was apparently asymptomatic 1 year back, then he developed abdominal pain and diagnosed to have renal calculi, for which he took treatment and symptoms got subsided.  He developed pain abdomen and abdominal distension 5 days back associated with decreased urine output and fever  No h/o of chest pa

GENERAL MEDICINE E-log

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NAME: A Sanvith ROLL NO: 09  Date: 09/06/2022 INTRODUCTION A 30year old female, housewife by occupation came to casuality. CHIEF COMPLAINTS Abdominal distenstion 9days back Abdominal pain  Fever 12 days back Pedal oedema since 9 days. HISTORY OF PRESENT ILLNESS Patient was apparently asymptomatic 12days back and had sudden onset of fever, Onset of swelling in the b/l lower limbs gradually progressive below the knee which is pitting type and no tender associated with abdominal distention. Decreased urine output and shortness of breath at rest. History of nausea, vomiting before admitting the hospital. HISTORY OF PAST ILLNESS Not a known case of asthma, TB, epilepsy, diabetes  K/c/o HTN since 6 years  PERSONAL HISTORY   Mixed diet Liss of appetite  Bowel movements regular  Sleep adequate  No known allergies  FAMILY HISTORY  Not significant  GENERAL EXAMINATION  Pallor present No icterus  No cyanosis No lymphadenopathy  B/L pedal oedema is present VITALS   TEMP: 98.7 BP: 126/60 mm of hg S

GENERAL MEDICINE E-log

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NAME: A Sanvith ROLL NO: 09 This is an online e log book to discuss our patient de-identified health data shared after taking his / her / guardians signed informed consent. Here we discuss our individual patients problems through series of inputs from available global online community of experts with an aim to solve those patients clinical problem with collective current best evident based input.  CHIEF COMPLAINT: A 78yrs old male carpenter by occupation came to opd with chief complaints of  Pain abdomen (left side) HISTORY OF PRESENT ILLNESS: Patient was apparently asymptomatic 1 week then he had a complaint of tonic movements of both upper and lower limbs which are of 3 to 4 episodes of duration 5 mins.He also had a complaint of post ictal confusion of duration 20-30 mins and also complaint of tongue bite. Then he had a complaint of chest pain on the left side since 3 days ,the pain is not radiating. No h/o cough,fever,SOB,headache,sudden onset,blurring of vision HISTORY OF PAST ILLN