GENERAL MEDICINE ASSIGNMENT- 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 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. E.Siddhanth 157 A 31year old female, who studied till degree and is a housewife by occupation came with chief complaints of:  B/L knee pains since 2 weeks Fever on and off since 2 weeks Oral ulcers since 6 months  Patient was apparently asymptomatic 2 years ago and then she developed pain in her right shoulder, which was dull aching type and continuous, for which she went to an Orthopaedic and was given medication. The pain kept alternating between right and left shoulder and som...

 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 CHIEF COMPLAINTS: Patient came to the hospital with the chief complaints of - fever , headache , altered talking ,walking and confusion. HOPI : Patient was apparently asymptomatic 5 days back, then he developed, High grade fever with chills, intermittent in nature, relieved on medication and was associated with headache. Altered sensorium since 2 to 3 hours (not talking and not working properly). No urine output since morning on 24-3-22 No history of burning micturition, vomitin...

bed 3 60yr/M A 60 yr old male daily wage labourer by occupation b came to the casualty with chief complaints of fever with chills since 10 days c/o dry cough since 10 days c/o burning micturition since 10 days patient was apparently alright 10 days ago and then developed high fever which was intermittent , associated with chills ,relieved with medication/o dry cough not associated with sputum since 10 days,SOB since 10 days which was intermittent C/o burning micturition since 10 days no c/o of vomitings, loose stools history of pulmonary kochs 3 yrs ago used ATT for 6 months , (coughassociated with sputum and low gade fever) past history not a known case oc HTN,DM,CAD ,CVA appetite- normal bowel movements- regular micturition- normal no addictions no significant family history general examination no pallor,icterus, cyanosis, lymphadenopathy and edema pulse rate: 104bpm BP: 110/80 mmHg respiration: 29/min spo2 : 98%at RA CVS s1,s2 heard RS : BAE + ,NVBS,...

AMC 4 th bed 34yr/M A 34 yr male barber by occupation came to the opd with chief complaints of giddiness and fall 3 days ago patient was apparently alright 5 years back in 2016- patient had jaundice,for which he used herbal medicine following which he had binge alcohol and severe loose stools,watery consistency (20 episodes/day) - for which he was admitted in outside hospital ,patient reports that he was in altered sensorium for 3 days in ICU during that admission (no records available).3 pints PRBC transfusion in ICU was done at that time of hospital stay.since discharge patient was fine and in 2018 patient went for regular check up ,he says blood investigations were normal at that time 3 days ago- patient c/o giddiness and fall in washroom with injury on left side of forehead ,then he went to a local RMP and on routine investigation was found to have pancytopenia and was referred here ,no h/o any ENT bleed , convulsions,LOC, blood loss during fall ,he complaints of generalised ...