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Showing posts from September, 2022

28 year old patient with epigastric pain

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  Hello, I am Y.N.Indu Vaishnavi,a 3rd semester medical student. This is an online elog book to discuss our patients health data after taking his/her consent. This also reflects my patient centered online learning portfolio 28 year old male resident of Manimidhe presented to opd with epigastric pain CHIEF COMPLAINTS Epigastric pain since 7 days which is associated with cough Swelling in the right lower abdomen with puss discharge since 7 days HISTORY OF PRESENT ILLNESS  Patient is apparently asymptomatic 7 days ago Then he had epigastric pain on the right side which is incidents on onset, gradually progressive which aggravates on leaning forward, sitting and coughing It regressed on lying down  Not relieved on medication 2 days back he had fever with no chills that subsided on medication. No nausea HISTORY OF PAST ILLNESS  No HTN/diabetes PERSONAL HISTORY Patient is a farmer by occupation  married Bowel movement is regular Burning Micturition alcoholic FAMILY HISTORY  No significant fa

A 35 year old female with headache and hearing loss

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 Sep 26th Hello, I am Y.N.Indu Vaishnavi,a 3rd semester medical student. This is an online elog book to discuss our patients health data after taking his/her consent. This also reflects my patient centered online learning portfolio A 35 year old female, resident of Nalgonda , farmer by occupation came to hospital on 19/9/22 with  CHIEF COMPLAINTS Headache and neck pain since 6 months . Headache was on and off and associated with vomiting. She complaints of hearing loss and tinnitus in right ear and giddiness since 1 month. HISTORY OF PRESENT ILLNESS        The patient was apparently asymptomatic 6months ago.The she had headache associated with neck pain and vomiting.  She complaints of hearing loss and tinnitus in right ear and giddiness while head movement since 1 month. She has no history of fever or chills. No history of ear discharge. PAST HISTORY        No history of DM       No history of HTN        No history of CAD , Asthma , epilepsy, TB  FAMILY HISTORY            No History

33 year old female with right lower abdominal pain

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 Sep 19th Hello, I am Y.N.Indu Vaishnavi,a 3rd semester medical student. This is an online elog book to discuss our patients health data after taking his/her consent. This also reflects my patient centered online learning portfolio. 33 year old female resident of west bengal came to opd with lower abdominal pain CHIEF COMPLAINTS She came with a chief complaint of pain radiating from groin to right flank region gradually increasing since 3 years. C/O nausea and vomiting since 3months C/O no fever HISTORY OF PRESENT ILLNESS  Patient is apparently asymptomatic 3 years ago. Then she developed pain in the right groin region which radiated to right flank region It was gradually increasing pain. Aggrevating factors : on walking, or doing heavy work  Has dull pain during rest. It severely increased 3 months ago. She also complaints of nausea and vomiting since 3 months which relieved on medication. She complaints of burning micturition since 5 days. C/O dysuria No white discharge HISTORY OF PA

61 yr old male with dry cough, dragging pain towards the finger tips,SOB,lower back pain and chest pain

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 Sep 16 Hello, I am Y.N.Indu Vaishnavi,a 3rd semester medical student. This is an online elog book to discuss our patients health data after taking his/her consent. This also reflects my patient centered online learning portfolio. 61 year old male resident of Ramulapeta,yadadri dist who is a daily wage labourer in construction work came to the hospital with complaint of CHIEF COMPLAINTS Dry cough since 10 days Dragging pain towards the finger tips since 10 days Lower back pain since 10 days Shortness of breath Grade 2 -grade 3 Chest pain near heart since 10 days  HISTORY OF PRESENTING ILLNESS PATIENT WAS APPARENTLY ASYMPTOMATIC 3 YEAR AGO WHEN  He noticed involuntary movements of upper right limb at rest and decreased on movement 2 years ago his wife passed away because of which he became reclusive and increased intake of alcohol  1 year back he noticed showing of moments and decrease in his pitch of voice He has used medication but stopped using after 5 months due to lack of improveme

40 years old male with community acquired pneumonia with right upper lobe,middle lobe,lower lobe consolidation and left upper lobe

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Hello, I am Y.N.Indu Vaishnavi,a 3rd semester medical student. This is an online elog book to discuss our patients health data after taking his/her consent. This also reflects my patient centered online learning portfolio   40 years old male  resident of nalgonda who is farmer came to the hospital with the complaints of  CHIEF COMPLAINTS C/o  Fever since 3 days  C/o cough (dry cough) since 3days  C/o shortness of breath grade 4 since 3 hours  HISTORY OF PRESENTING ILLNESS Patient  was apparently asymptomatic  3days ago then he had fever  associated with chills and rigors  then he developed dry cough,And then developed SOB Grade 4 since 3 hours. No h/o cold, nausea, vomiting, loose stools. PAST HISTORY Not a known case of Diabetes  Hypertension Tb  Asthama Epilepsy Cvd Chemotherapy FAMILY HISTORY Not significant PERSONAL HISTORY Diet - mixed Appetite - Decreased  Bowel and bladder - adequate Allergies -odlu dust Addiction -  intake of alcohol  90ml daily  Daily routine before 10 days 5:

A 38 yr old male with fever ,cold cough, generalized weakness,headache,SOB

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  Hello, I am Y.N.Indu Vaishnavi,a 3rd semester medical student. This is an online elog book to discuss our patients health data after taking his/her consent. This also reflects my patient centered online learning portfolio This is a case of 38 year old male came with cheif complaints of  1.Fever with chills 2.cold 3.Cough 4.Generalized weakness 5.Head ache(frontal region) 6.SOB grade 2 7. Loose stools HOPI:- Patient was apparently asymptomatic 4days back. Then he developed fever which was high grade fever with chills which eas intermittent relieved by medication associated with cold,cough which is dry in nature and generalized weakness. Since 1 day he has complaints og loose stools of 5 episodes which is watery and non blood stained and non mucoid.No complaints of pian abdomen or vomitings. PAST HISTORY:- Not a known case of HTN/DM, /Thyroid disorder/TB/Asthma/CAD PERSONAL  HISTORY:- DIET- Mixed APPETITE- Normal SLEEP- Adequate  BOWEL AND BLADDER MOVEMENTS - regular  ADDICTIONS -none