Pranati V (roll no. 129)

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 61 year old farmer by occupation came with chief complaints of chest tightness Pt was apparently asymptomatic 10 months back and had developed sudden onset dizziness and chest tightness. Whenever he consumes spicy or heavy foods, he experiences dragging type of pain in the left infra-axillary area of chest  When he applies pressure on left side of chest(infra axillary area for pain relief), there is relief, belching(+) Difficulty in passing stools, no blood or mucus in stools Right thigh- c/o sensation of insect crawling over thigh followed by burning sensation K/c/o HTN since 2 years, on T.Amlodipine...

LThis 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 26 Year old, P3L3, last child birth 5 years back, a homemaker came to OPD with chief complaints of multiple joint pains, and backache since 3 years Pt was apparently asymptomatic 3 years back, then developed multiple joint pains, involving small and large joints (B/L DIP, PIP, MCP, wrist, elbow, knee, shoulder, ankle)  Low backache since 3 years  A/w ROM, swelling, low grade fever  Morning stiffness (+) for 10-15 min before resuming activity 20/2/21 RA- positive (February 2021) Used : T. METHOTREXATE 7.5MG PO/once weekly T. SULFAZALAZINE 500MG PO/OD T. OLFENAC-SR 200MG po/od T. METHYLPREDNISOLONE (?d...

 32 year old male with fever under evaluation 32 year old male patient came to casualty with chief complaints of: Fever since 3 months Cough since 3 months Vomitings since yesterday  History of present illness : Patient was apparently asymptomatic 3 months back,then he developed fever which was of high grade associated with headache, chills,continuous,more during night time. C/O cough since 3 months,dry,no hemoptysis.  Associated with shortness of breath.  C/O vomitings since previous day, multiple episodes. Non blood stained, non bilious. H/O weight loss present.  H/O loss of appetite present.  H/O paraplegia 3 months back,admitted, recovered with in 2 months.No bladder and bowel involvement.  Past history: H/O koch's 5 years back,used ATT for 4 months and stopped. H/o paraplegia 3 months back, admitted and recovered a within 2 months, no bowel or bladder involvement. (?GBS) H/O multiple suicide attempts present.  Not a k/c/o DM,HTN,asthma,epilep...

28 year old male with c/o fever since 5 days with chills Pt was apparently asymptomatic 6days back when he developed fever with chills and rigors..high grade Sudden onset resolved now 2 episodes of vomitings 2 days back, bilious, non projectile, non blood stained No Malena, hemoptysis, hematemesis No h/o rash No h/o loose stools N/k/c/o DM, htn, tb, ba, Epilepsy O/e Pt is c/c/c TEMP- 99.5°f Bp- 110/80mmhg Pr- 81 BPM RR- 18cpm CVS- S1 S2 heard Rs- BAE (+) P/A- soft non tender CNS- NFND Investigations- DX: Viral Pyrexia with Thrombocytopenia IVF - ns, RL at 100ml/hr Inj Pantop 40mg iv od Inj ZOFER 4mg iv SOS T. Dolo 650 mg po/sos Daily postural bp monitoring Temp charting 4th hrly

C/o generalised weakness since 2 months Body pain (+) C/o pain abdomen since 8 days Patient is a diabetic since 20 years initially on OHA later shifted to insulin Mixtard (30/70) since 1 week because of high sugars . She was apparently assymoptomatic 2 months back ,then she used to complaint of generalised body pains and weakness . No fever ,no vomitings ,no loose stools. Since 8 days patient is complaining of pain abdomen - diffuse , intermittently  No vomitings ,no loose stools . For the above complaints she was taken to RMP and got symptomatic treatment ,but found to have high sugars ,so they visited local doctor in nalgonda ,where her previous OHA was changed to Insulin. Now she presented to us with complaints of  Decreased urine output Pedal edema , abdominal distension since 3 days . With decreased food intake ,droswiness Constipation since 2 days H/o usage of T. aceclofenac 100mg po od since 3 days Pt is a k/c/o DM-TYPE2 since 20 years, initially on OHA, since 20 days i...