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General medicine

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  JANUARY 3RD 3/1/2023 General medice elog Hi , I am G Manish Reddy of 3rd semester student. This is an online elog book to discuss our patients health data after taking his consent. This also reflects my patient centered online learning portfolio.  CHEIF COMPLAINTS  A 85 year old male who is farmer by occupation resident of achampeta came to OPD with cheif complaints of breathlessness while walking,fever, swelling in the legs. HISTORY OF PRESENT ILLNESSES  Patient was apparently asymptomatic  15 days ago.Then he had slowly increasing breathlessness,(he developed SOB initially grade 2 later progressed to grade 4,incidious onset not associated with diurinal variation and also varies with posture).which was initially less but gradually increased.mild fever(intermittent type) has also developed And there was also sweeping in the feet of Patient . Pedal edema(incidious onset whic was progressed from grade 1 then grade 4,which was increased while working and decreased during rest). He previ
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December 29th  General medicine elog  Hi , I am G Manish reddy ,3rd semester student. This is an online elog book to discuss our patients health data after taking his consent. This also reflects my patient centered online learning portfolio.    CHEIF COMPLAINTS  A 60 year old male who is farmer by occupation resident of achampeta came to OPD with cheif complaints of swelling of the right foot and tingling sensation of both right leg and right upper limb since 10 days HOPI  Patient was apparently asymptomatic 10 days ago.Then he had sudden weakness in the right upper limb and right lower limb.Patient was unable to walk and lift his right upper limb and lower limb during midnight .Then he consulted nearby RMP 10 days ago where he was given some medications.Patient had a history of injury to the big toe followed by swelling of the right foot.Still the patient has no relief from the symptoms so he visited hospital on  27 December. PAST HISTORY   K/C/O Diabetes ,BP since 6 months  N/K/C/O A
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GENERAL MEDICINE CASE DISCUSSION

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   15th December 2022 CASE DISCUSSION  A 17 year old male came to opd who is driver came with CHEIF COMPLAINTS: Blood from nasal sinuses Fever since 4 days Vomitings 3-4 days/day. HISTORY OF PRESENTING ILLNESS: Apparently a symptomatic four days back, then developed fever (continuous type) with chills and rigors  Bleeding from nose since 4 days( 2-3 times a day) PAST HISTORY: No cold No vomiting  No BP No diabetes No asthma No TB PERSONAL HISTORY: Unmarried Mixed diet Regular bowel movements No allergies  Normal micturation No addictions FAMILY HISTORY: No significant family GENERAL EXAMINATION: No pallor No icterus No cyanosis No lymphadenopathy  No malnutrition  No clubbing of fingers No oedema FEVER CHART: HEMOGRAM: ECG: TREATMENT: 1. IVF: 10NS, 10RL @75 ml/hr 2. Inj. Neomol 1 gm IV/SOS If temp goes beyond 101 f 3. Tab. Dolo 650mg po/ird  4. Inj. Tranexa 500mg IV/SOS 5. Monitor temperature   PROVISIONAL DIAGNOSIS: DENGUE FEVER  
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General medicine E-log(1)

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July 06, 2022 Hi, I'm G. Manish Reddy (roll:46), 3rd sem medical student. This is an online e-log book to discuss our patient's health data shared after taking his/her consent . This also reflects my patient centered care and online learning portfolio. CASE SHEET: Chief complaint : A 46yr old patient who is farmer by profession came to OPD with the chief complaint of decreased urine output and shortness of breath since 20days History of present illness  : Patient was apparently asymptomatic 15yrs ago. Then he developed high grade fever for which he consulted local doctor and was diagnosed with type2 Diabetes Mellitus. He was assigned a diabetic diet. 3yrs ago he was gaining weight for which he visited doctor and was diagnosed with hypothyroidism and renal disease. He was started on dialysis on October 2021. He came to our hospital for dialysis and has been on it for past 8months (twice a week) History of past illness  : Diabetes milletus since 20 years Hypertension since 15 yea
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50 year old male with abdominal pain and fever

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  Note: This is an online E Log book recorded by Manish to discuss and comprehend our patient's  de-identified health data shared, AFTER taking his/her/guardian's signed informed consent. Chief complaints: Fever with chills and headache since 4 days, abdominal pain since 4days HOP1: 50 yr old male patient farmer  by occupation brought to casualilty with fever, abdominal pain(right hypochondrium), shortness of breath . He had high grade, continuous fever  associated with chills and headache. His pain in the abdomen aggregated on intake of food.Burning micturition since 4 days. He also noticed decreased urine output. Abdominal distension since 4days and shortness of breath on exertion since 4 days. Past illness: -  Personal History: Mixed diet Black stools   Sleep Adequate  Chronic alcoholic  Family History: Non significant  Negative History : No History of ,Hypertension,diabetes,Vomiting ,Palpitations and asthma  General Examination:  Patient is Conscious,  Moderately Built and
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