Rishitha Chowdary 35

  E LOG GENERAL MEDICINE Hi, I am Rishitha, 5th Sem Medical Student.  This is an online e-log book to discuss our patient's health data shared after taking his/her/guardian's consent . This also reflects patient centered care and online learning portfolio. This E-log book also reflects my patient-centered online learning portfolio and of course, your valuable inputs and feedbacks are most welcome through the comments box provided at the very end. HAPPY READING! Chief complaints: Fever since 1 day  Cough since 1 day  Vomiting since today morning  HOPI  pt was apparently asymptomatic then he developed fever which is of high grade intermittent a/w chills and rigor, vomitings (non projectile non bilious watery filled with food particles No c/o pain abdomen cold loose stools burning Micturition Past history :  N/k/c/o HTN , DM , thyroid epilepsy asthma CAD CVD H/o pneumonia? 3 months back  General examination  Pt is conscious coherent cooperative  No pallor icterus cyanosis clubbing

E LOG GENERAL MEDICINE Hi, I am Rishitha, 5th Sem Medical Student.  This is an online e-log book to discuss our patient's health data shared after taking his/her/guardian's consent . This also reflects patient centered care and online learning portfolio. This E-log book also reflects my patient-centered online learning portfolio and of course, your valuable inputs and feedbacks are most welcome through the comments box provided at the very end. HAPPY READING ! CASE SHEET   58 year old male patient brought to casualty with chief complaints of SOB since 15 Fever since 15 days Burning micturition since 15 days HOPI : He was apparently a symptomatic six months back And then develop lower back and abdominal pain for which he was taken to a local practitioner where the diagnosed it as a renal failure and patient has taken a conservative management for three months and then patient has stopped taking medication. Then two months back, he developed swelling in the both lower limbs, whic

  Chief Complaints: Bilateral loin pain since 3days. History Of Presenting Illness: Patient was apparently asymptomatic 7days back then he sustained snake bite (with Russell viper) on left ring finger while working in the fields,visited local hospital and managed symptomatically.  C/O bilateral loin pain,insidious in onset ,intermittent,gradually progressive,pricking type ,non radiating,aggravates on lying down. C/O low grade fever,Nausea and vomiting,bloating. N/C/O Burning Micturation,decreased or increased urine output. N/C/O cough,cold,body aches,chest pain. Past History: N/k/c/o diabetes HTN,Epilepsy,Tuberculosis,CAD,CVA Personal History: Diet : Mixed  Appetite : Normal Sleep : Normal Bowel and bladder moments :Regular  Addictions: chronic alcoholic since 20years. Tobacco smoking since 20years. Family History : Not significant  General physical examination: Patient is conscious ,coherent,cooperative and well oriented to time, place and person. Well built and nourished. Pallor: abs