GENERAL MEDICINE E-log

July 04, 2022

NAME : A SANVITH

ROLL NO : 09

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.

DOA: 24/06/2022

Question:

A 38 year old male farmer by occupation and came to the opd with chief complaints of pain on the right leg.

HISTORY OF PRESENT ILLNESS

Patient was asymptomatic one month back and he devoloped pain on the Right leg which is slow in Onset and he visited RMP doctor and Doctor gave medicine the Onset Of Pain is increased and he visited sparsha hospital and doctor suggested to take x-ray and MRI scan and he gave medicines the patient decreased pain with medicine and he devoloped lot of Pain and went to homeopathy 1 month back and with medicines the pain was Releaved and he went to work for few days and again he devoloped Pain And again he went to khammam for another hospital and took MRI scan and doctor said he have infection (tumour on femur).and patient went to mamatha medical college for conformation their the doctors said the same thing .later his brother suggested to join in who was the patient in before.here the doctors said the sameyhing that he have tumour after taking MRI scan and suggested operation should be done.

HISTORY OF PAST ILLNESS

N/k/c/o DM, TB, ASTHAMA, BP, EPILEPSY

PERSONAL HISTORY

Mixed diet

Regular bowel movements

Non alcoholic

Non smoker

Bladder movements normal

FAMILY HISTORY

Not significant

GENERAL EXAMINATION

PHYSICAL EXAMINATION