Vaishnavi kedari roll no 164

30 years old male occupation Working as farmer came to our casualty at 9:15 AM on 13/2/2022 with the chief complaint of dyspnoea since 2 hours and and nausea since 2 hours HOPI : Patient is a resident of iskilla , farmer by occupation he mainly does sowing rice and labourer work . patient was apparently asymptomatic on Saturday (12-2-2022) when he came home after consuming toddy from a place different from  his usual seller  around 2 bottles(360ml) (more than his usual consumption )and complained of back ache to his mother later few hours in he had 5-6 episodes of loose stools which were watery. Later he felt hungry and asked his mother for some food . He ate some rice and curry and asked for some milk.  His mother gave him few drops of milk while he layed in supine position, later at around 3am he had two episodes of vomiting, vomitus was milk like in colour and non projectile, later developed bilateral limb weakness and sob,became deliriant .Seeing his condition his fam...

 A 40 yr old female came to hospital with chief complaint of Menorrhagia past 6months HISTORY OF PRESENT ILLNESS: A 40yr old female who was born out of consaginous marriage grade III through a normal vaginal delivery at her mother's sister house. She immediately cried and was breast  fed for 1year. Her immunization is not known . Since childhood she used to eat only one meal per day though she had a good appetite because of weakness.  She used to sway side by side while walking,sometimes fell down and again she used to get up on her own. She used to get ready to school by herself.(wearing uniform,combing hair) She used to repeat her standard almost 2-3 times. She attained menarche at the age of 14yrs with normal flow 4-5 days/month with no clots. LMP- 5/2/2022 Once she complained of heavy bleeding for a month for which they went to local mbbs doctor  who provided medications and her bleeding was relieved. Now since 6 months ,she is having heavy bleeding per vagina du...

pain abdomen secondary to uncontrolled sugars with DKA with ? pancreatitis with AKI on CKD. (CKD secondary to metabolic acidosis ) with HFPEF( EF- 58%) with metabolic acidosis secondary to DKA & CKD with H/o DM-2 , hypothyroidism , CKD 43 year female came with complaints of pain abdomen & vomitings since 1 day HOPI :  Patient was apparently asymptomatic 6 yrs back, then had anasarca , went to hospital in hyderabad & diagnosed to have  hypothyroidism ( started on tab.THYRONORM 50 micrograms)  & also diagnosed as  renal failure & was on TAB.TORSEMIDE 20MG+ SPIRONOLACTONE 50MG & also DM 2 ( started on inj.MIXTARD 6U....X.. .10U & increased doses of MIXTARD to 20U...X...25U since 1 1/2 yr.  Currently patient complaining of pain abdomen which is diffuse , intermittent, dull aching pain associated with vomitings, 2 episodes non bilious , non projectile , food as content .  No H/O fever, cold, cough, loose stools, constipation , malena,...

 MEDICINE E LOG BOOK “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 reflects my patient centered online portfolio and your valuable inputs on the comments is welcome.” January 21,2022 55 YR OLD FEMALE WITH DEPRESSION AND INVOLUNTARY MOVEMENTS A 55 years old female came to the GM OPD with chief complaints of   - sudden onset of tremors in right arm since yesterday which stopped during sleep and started again in the morning.    History of present illness:  She was apparently asymptomatic 1year ago. Then as she developed abnormal behaviour with suspicion over that they are harming her and fearfulness towards others 1yr ...

This is a case of 44year old male diagnosed with ALCOHOLIC LIVER DISEASE(ALD)  CHIEF COMPLAINTS  44 year old male came to casualty with chief complaints of fever since 1 week which is high grade and associated with chills and rigors HOPI  Patient was apparently asymptomatic 12 years back, and he had history of intake of alcohol initially 90 ml gradually progress to amount of 200 ml since2 years. Patient was on alcohol which is about 200 ml initially and then the quantity increased to daily intake of 300 ml with no or minimal food intake. He had shortness of breath and also had generalised weakness. Patient became tachypneic over night(RR 18-32cpm) and also had 2 fever spikes and saturation dropped to 82% on RA and also had respiratory distress H/O agressive behaviour previously but now it got subsided  Previously tremors +  Decreased appetite   yellowish discoloration of sclera is present vomiting of 1 episode  patient was admitted in outside hosp...