General medicine 2nd internal assessment

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General medicine E-log

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32 CH SRILEKHA, 8th sem This elog depicts the patient -centered approach to learning . This is an online E log book recorded to discuss and comprehend our patients de-identified health data shared , after taking his /her /guardians signed informed consent . This elog also reflects patients centered learning portfolio. 58 yr old with stroke November 28, 2023 58 year old male construction worker by occupational came with chief complaints of Burning sensation at right upper half of the body since 2years History of present illness Patient was apparently asymptomatic 2years than one night he suddenly  complained  of loss of vision in both eyes and he developed weakness of right upper limb and lower limb and deviation of mouth to left side which is sudden in onset preceeded by 30-40 episodes of vomiting non-bilious , non-blood tinged, projectile which was associated with involuntary movements of both upper limbs and lower limbs , associated with frothing , tongue bite , outward fixation of l
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General medicine E-log

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32 CH SRILEKHA, 8th sem This elog depicts the patient -centered approach to learning . This is an online E log book recorded to discuss and comprehend our patients de-identified health data shared , after taking his /her /guardians signed informed consent . This elog also reflects patients centered learning portfolio. 55 year old male came to opd with chief complaints of fever and yellowish discoloration of eyes and tongue( jaundice) since 15days HISTORY OF PRESENTING ILLNESS  Patient was apparently asymptomatic 15 days ago when he developed fever which was insidious in onset, low grade, gradually progressive in nature, associated with chills and rigors. No hlo loose stools, vomitings Pedal edema was noted by patient 2 days ago, pitting type No h/o decreased urine output or burning micturation. H/o cough since 1 day, non productive, dry cough. No hlo chest pain, palpitations and sob H/o yellowish discoloration of eyes and tongue since 15 days No h/o bleeding per rectum, haematuria . PA
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General medicine E-log

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Image
32 CH SRILEKHA, 8th sem This elog depicts the patient -centered approach to learning . This is an online E log book recorded to discuss and comprehend our patients de-identified health data shared , after taking his /her /guardians signed informed consent . This elog also reflects patients centered learning portfolio. CHEIF COMPLAINTS:  28 years male autodriver by occupation admitted in hospital with c/o fever since 5 days HOPI: patient was apparently asymptomatic 5 days back then he developed intermittent low grade fever a/w generalised body pains, headache, and giddiness. Lots of appetite, not a/w chills and rigor no diurnal variation  No history of malena, hematuria No complaints of chest, pain, cough, cold No complaints of burning micturition No complaints of loose stools, nausea, vomiting PAST HISTORY : Not a known case of hypertension, diabetes, thyroid, CAD CVA TB PERSONAL HISTORY: Appetite: normal Diet: mixed Addictions: no Sleep: adequate bowel regular  General examination: Pt
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