99 Vaishnavi pakker

  E-LOG GENERAL MEDICINE Hi, This is vaishanavi, 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 the problem. A 59 year old male farmer who is a resident of nalgonda district admitted in the hospital with chief complaints of pain in bilateral lower limbs and oedema since 6 months Pain is of dragging type associated with fever, relieved on medication. Oedema is of pitting type grade 2. Neck pain radiating to the hand since 1month. HOPI: Patient was apparently asymptomatic 20 years back then he developed pain and generalized weakness of the body which he stopped working as a farmer and started to stay near his farm. 3 years back patient developed pain in multiple joints increased with movements so went for local practitioner and was taking

 E-LOG GENERAL MEDICINE Hi, This is vaishanavi, 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. 40y old female came admitted in hospital   Chief complaints: H/o fever since 4days which is of low grade intermittent with no chills &rigor H/o of nausea since 3days H/o of food intake since 3days H/o of generalized weakness nd loose stools since a day  HOPI Patient was apparently asymptomatic 5days back  On 4th low grade fever, generalized weakness associated with cough consulted local hospital for hypotension started on fluids and discharged.she had nausea which resulted on food intake, history of loose stool of 4to 5 episodes watery, foul smelling ,non mucoid ,non bloody not associated with abdominal pain Cough  since 4 days produ

  65 y old male came admitted in hospital  for regular dialysis. Chief complaints: Facial puffiness, pedal oedema,shortness of breath  History of presenting illness:- Patient was apparently asymptomatic 2 yrs back The he suddenly developed fever,generalised weakness for which he visited local hospital. After examination and investigations done  Patient was diagnosed with hypertension and renal failure and was referred to another hospital in Hyderabad. There he was treated with medications and patient was almost normal for an year and continued his daily activities. After 1 yr patient stopped his medication and started consuming alcohol and toddy. Then he developed symptoms of fever,severe facial oedema ,pedal oedema ,hypertension,shortness of breath,cough,oliguria,loss of appetite. Now he again revisited the hospital in Hyderabad after examination and investigations he was diagnosed with complete renal failure and suggested to get dialysis done . Patient came to narketpally and admitte