General medicine

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

   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