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General medicine internal assessment 1

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 E-LOG GENERAL MEDICINE Hi, This is Likitha, eighth semester medical student. This is an e-LOG depicting patient's de-identified data centered approach for learning medicine. This log has been created after taking consent from  patient and his family. Here we discuss about patient's problems with a series of inputs with an aim to solve them. A 55 year old male with SOB and lower back pain Chief complaints :   A 55 year old male came to opd with SOB and lower back pain , laborer by occupation residing at Halaya • SOB since 10 days  • pain at lower back since 10days  History of present illness : The patient was apparently asymptomatic 1month back , then he developed SOB which is insidious onset , grade 2 (NYHA), gradually progressed orthopnea,  •There’s decreased urine output since 1month - thin stream, poor flow, increased frequency , hesitancy sensations and burning micturition  • Pain at the lower back is dull aching type, non radiating and not associ...

A 45 YEAR OLD MALE WITH FEVER , SLURRING OF SPEACH, BURNING MICTURITION

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  E-LOG GENERAL MEDICINE Hi, This is Likitha , a fifth semester medical student. This is an e-LOG depicting patient's de-identified data centered approach for learning medicine. This log has been created after taking consent from  patient and his family. Here we discuss about patient's problems with a series of inputs with an aim to solve them A 45 year old male with fever Chief complaints: A 45 year old male came to opd with fever ,farmer by occupation residing at cherlapally • Fever since 7 days • Slurring of speech since 4 days •Burning  micturition since 4 days History of present illness: The patient is apparently asymptomatic 2 days before he admitting hospital , He came to hospital with complaints of fever with chills after admitting into hospital he developed slurring of speech and burning micturition. Day to day routine: •He used to wake up daily at around 4:00 am • He completes his mandatory things and go to his farm at 6:00 am and takes a cup of tea between •He ...

A 36 YEAR OLD FEMALE WITH FEVER, VOMITINGS AND ABDOMINAL PAIN

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  36 year old female with fever, vomitings and abdominal pain  E-LOG GENERAL MEDICINE Hi, I'm  Likitha , a fifth semester medical student. This is an e-LOG depicting patient's de-identified data centered approach for learning medicine. This log has been created after taking consent from patient and his family. Here we discuss about patient's problems with a series of inputs with an aim to solve them Case scenario - 36 year old female, housewife by proffesion came to OPD with chief complaints of  fever since a week  Pain in the abdomen since 5 days  Vomitings since 3 days  History of presenting illness- Patient was apparently asymptomatic 1 week back, then she developed fever which was associated with chills and rigor  This was followed by pain in abdomen which developed 5 days back in the epigastric region  which was sudden in onset and it was  dragging type  Vomitings since 3 days which was non bilious and non projectile - 5 to 6 e...

A 66 YEAR OLD MALE WITH BILATERAL PEDAL EDEMA , PUFFINESS OF FACE , SOB

 End stage renal disease  E-LOG GENERAL MEDICINE Hi, This is Likitha, a fifth semester medical student. This is an e-LOG depicting patient's de-identified data centered approach for learning medicine. This log has been created after taking consent from  patient and his family. Here we discuss about patient's problems with a series of inputs with an aim to solve them. A 66 YEAR OLD WITH END STAGE RENAL DISEASE Chief complaints: A 66 year old male hailed from suryapet presented to the OPD with chief complaints of: Bilateral pedal edema since 3 months.                           SOB since 3 months.   Puffiness of face.                                                         Body aches HOPI: Patients was apparently asymptomatic 12 years ago . He developed chest...

Internal assessment

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Likitha godavarthi  Roll no 69