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82 yr old male patient with fever and involuntary movements

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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 CHIEF COMPLAINT 82 year old male patient , resident of muthkur came to opd with a chief complaint of fever since 5 days and involuntary movements in upper and lower limbs. HISTORY OF PRESENT ILLNESS   Patient was apparently asymptomatic 2 days back. In the afternoon he developed a high grade fever followed by involuntary movements in all the limbs. Tongue biting and uprolling of eye were also there. Was taken to hospital and medications were given. But later that night he developed those symptoms again. He had tongue biting, uprolling of eyes, involuntary micturition and Bowel movements with postictal confusion for around 5 minutes There is no history of similar complaints in the past Initially after regaining consciousness he couldn't recognize the attende...

Case-1 Epigastric pain and abdominal tightness (28 yr old male)

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Sep 06, 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. Case sheet CHIEF COMPLAINTS A 28 year old male, resident of Narketpalli presented to opd on 1st sep with high grade fever with chills.He again presented with chief complaint of pain in the epigastrium and abdominal tightness on sep 5th. HISTORY OF PRESENT ILLNESS Patient was apparently asymptomatic 6 days back, then he developed fever at night - 103°F, with chills and rigors but not associated with cough/cold/ headache/nausea/ vomiting/ loose stools/ burning micturition. He was advised to take dolo 650 and oral fluids and the fever subsided. Next day evening patient again developed fever(evening rise of temp)with chills but subsided after taking symptomatic medications Patient now complaints pain in abdomen at epigastrium not subsiding (even with antacids) Pa...