GENERAL MEDICINE ASSIGNMENT FOR MAY 2021

  This is an online E log book to discuss our patient's de-identified health data shared after taking his/her/guardian's signed informed consent. Here we discuss our individual patient's problems through series of inputs from available global online community of experts with an aim to solveb those patient's clinical problems with collective current best evidence based inputs. This E log book also reflects my patient-centered online learning portfolio and your valuable inputs on the comment box is welcome. CASE: This is a case of a 80 year old female with complaints of  1. vomitings (4-5 episodes) 2. abdominal discomfort since 08/04/2023. HISTORY OF PRESENTING ILLNESS: Patient was apparently asymptomatic 2 hours ago.She then had 4-5 episodes of vomiting which contained of food particles,non bile stained,not foul smelling and not blood stained.It is associated with giddiness and abdominal discomfort. No complaints of fever,loose stools,shortness of breath,chest pain,ortho...

  This is an a 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. This E blog also reflects my patient centered online learning portfolio and your valuable inputs on the comment box is welcome. I have been given this case to solve in an attempt to understand the topic of " patient clinical data analysis" to develop my competency in reading and comprehending clinical data including history, clinical findings, investigations and come up with diagnosis and treatment plan CHIEF COMPLIANTS vomitings since evening 4hrs - 3episodes  Loose stools 2 episodes HOPI Patient was apparently asymptomatic 4hours back then developed vomitings 3 episodes food as content non bilious non blo...

  This is an online E log book to discuss our patient's de-identified health data shared after taking his/her/guardian's signed informed 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 portfolio and your valuable inputs on the comment box" 67 year old male resident of gundepalli complaints of headache since 15 days HOPI: patient was apparently asymptomatic until 15 days back. Then he had insidious onset of unilateral headache left side dragging pain radiating to neck accompanied with decreased intenditor speech , decreased fluency . Memory loss No c/o fever , fatigue , giddiness No c/o cough/ cold  No c/o burning micturition No c/o nausea, vomitings, loose stools PAST HISTORY: Not a known case of Dm/HTN/TB/asth...

  This is an online E log book to discuss our patient's de-identified health data shared after taking his/her/guardian's signed informed 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 portfolio and your valuable inputs on the comment box" 77 year old male daily wage labourer by occupation president of narayanapuram complaints of abdominal dtension since 3 days  History of presenting illness: Patient was apparently a symptomatic until 3 days ago then he had complaints of sudden on set of abdominal distention accompined with twisting type of pain; Dyspnea, constipation decreased urine output, painful defecation aggravated after having food No complaints of fever headache giddiness No complaints of bilateral peda...

  This is an online E log book to discuss our patient's de-identified health data shared after taking his/her/guardian's signed informed 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 portfolio and your valuable inputs on the comment box" A 45 year old female who is a daily wage labor by occupation Came with the complaints of both leg pains since 1 year  HOPI: Patient was apparently a symptomatic one-year back then she developed bilateral lower limb pains,  dragging type of pain insidious in onset gradually progressive radiating from hip to foot, accompanied with tingling sensation while walking since one year  Bilateral knee pain, with crepitus dragging type of pain, non radiating insidious in Onset associate...

This is an online E log book to discuss our patient's de-identified health data shared after taking his/her/guardian's signed informed 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 portfolio and your valuable inputs on the comment box" 50 year old male, farmer by occupation,  came to Medicine OPD with complaints of :  * Distended abdomen since 7 days  * Pain abdomen since 7 days * Pedal edema since 5 days  * Breathlessness since 4 days. * Decreased micturition since 2 days. HISTORY OF PRESENT ILLNESS:  The patient was apparently asymptomatic 6 months ago when he developed jaundice and was treated at a private practitioner. Later he developed abdominal distension about 7 days ago - insidious in onset, gradu...