General Medicine

 CHIEF COMPLAINTS:- A 60 year old patient came to the OPD with complaints of pedal edema in both the legs since 2 years and burning micturition.  HISTORY OF PRESENT ILLNESS:- The patient was apparently asymptomatic 2 years ago after which he developed pedal edema on both his legs. The patient also complained of back ache .The patient complained of pain in his legs while walking and difficulty in standing up due to weakness. The patient also complained of breathlessness while walking . The patient complained of burning micturition since 2 months.No history of fever. PAST HISTORY:- The patient is a known diabetic since 10 years. The patient reported of having ear deafness since 6 years. The patient visited a government hospital 5-6 months ago where he was diagnosed with kidney failure and was put on dialysis. The patient was diagnosed with hypertension 3 months ago No H/O of TB, epilepsy , asthma  FAMILY HISTORY:-  No significant family history . PERSONAL HISTORY :- Diet- vegetarian  App

 General medicine elog  Hi , I am M sumanth 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 55 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.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 Kims on 27 December. PAST HISTORY  No history of Diabetes ,BP since 6 months  No history of Asthma,TB,CAD,Epilepsy  Patient compl

20th Dec 2022   CASE DISCUSSION  A 55 year old male came  to opd  who was a labourer by occupation  came with CHEIF COMPLAINTS: Vomitings ( since 2days ) Pain in abdomen  Breathlessness  Decreased appetite( since 6days ) HISTORY OF PRESENTING ILLNESS: Patient was apparently asymptomatic 6days ago and then he had decreased appetite and was consuming alcohol. vomitings started 2days ago along with breathlessness. PAST HISTORY: No cold No vomiting  No BP No diabetes No asthma No TB No Epilepsy PERSONAL HISTORY: Married Mixed diet Regular bowel movements No allergies  Normal micturation Alcohol-Daily 180 ml since 20 yrs Cigarettes- Daily 10 cigarettes since 15 yrs FAMILY HISTORY: No significant family history GENERAL EXAMINATION: No pallor icterus is seen No cyanosis No lymphadenopathy  No malnutrition  No clubbing of fingers Pedal oedema is seen FEVER CHART: HEMOGRAM: ECG: TREATMENT: 1. Inj Thiamine 1gm/IV 2. Inj PAN 40mg/IV/stat 3. Inj LASIX 40mg/IV 4. Inj Sodium bicarbonate 100Meq/IV/St

   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