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Showing posts from June, 2022

45yrs old male patient

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This is an online E Log book recorded to discuss and comprehend our patient's  de-identified health data shared, AFTER taking his/her/guardian's signed informed consent. Shreshta.A  06 Aswin.I  18 Chief complaints : A 45 year old male driver from nalgonda was admitted in the hospital on 14th june 2022 with chief complaints of Itching sensation throughout the body and Pain in the right abdominal region since 1month. History of present illness: Patient was apparently asymptomatic 1month back, then he developed multiple lesions over lower limb. Lesions progressed to form ulcers. SOB present since 1month  Increase thrist and urine output (14 to 15 episodes of mixturation),increase bowel movements since 1week Frequently coughing (sputum) while talking Fever: persisting since 1 week             Chills and rigor              Cough and cold Felling nauseous. Past history:  Not diabetic  No hypertension  Did not undergo any surgery  Not on any medications. Family history: Not relevant.

Case: 45y/Male with c/o altered sensorium.

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    General medicine v elog 1    Hi , I am Aswin I, 3rd sem ki ester student.  This is an online e8log  book to discuss our patients health data after taking his consent.  This also reflects my patient centered online learning portfolio. U 45y/Male with c/o altered sensorium L78 DOA: 19/05/2022 CC: 46y/M came with c/o drowsiness (altered sensorium) since 19/05/2022 morning, c/o vomiting (3-4 episodes) since 2 days Hiccups since 3 days Burning micturition present since 10 days. HOPI: Patient was apparently asymptomatic  5 days back, then patient developed c/o vomiting ,had 4-5 episodes, containing food particles,non bilious.n ki Patient c/o deviation of mouth and giddiness since yesterday night(18/05/2022) No c/o fever/cough/cold No significant h/o previous UTIs No c/o chest pains/palpitations/syncopal attacks. Past History: 10yrs back pt had c/o polyuria and was diagnosed with Type 2 DM 10 yr back,  h/o small injury on leg which gradually progressed to non healing ulcer extending upto