2nd internal assessment

Comments

Post a Comment

Popular posts from this blog

5/10/21

Image
45YR FEMALE WITH FEVER, VOMITINGS AND SHORTNESS OF BREATH  This is an online E log book to discuss our patient's de-identified health data shared after taking his/her/guardian's signed informed consent.  Here we discuss our individual patient's problems through series of inputs from available global online community of experts with an aim to solve those patient's clinical problems with collective current best evidence based inputs.  This E log book also reflects my patient-centered online learning portfolio and your valuable inputs on the comment box is welcome.” I've been given this case to solve in an attempt to understand the topic of "patient clinical data analysis" to develop my competency in reading and comprehending clinical data including history, clinical findings, investigations and come up with a diagnosis and treatment plan. A 45year female Presented with  C/O Fever since 5 days C/O Vomitings since 4 days C/O Headache since 4 days C/O Shortness
Read more

Ascites

Image
  DATE OF ADMISSION - 22/06/22 CHIEF COMPLAINTS - 45 yr old female came to OPD with chief complaints of swollen legs,leg pain,distended abdomen. HISTORY OF PRESENT ILLNESS  -C/O abdominal distension since 2months - pedal edema and shortness of breath since 2months. -k/o decreased appetite and loss of weight. HISTORY OF PAST ILLNESS   k/c/o DM and on INJ mixtard insulin k/c/o hypothyroidism and on T.Thyronorm k/c/o HTN and on T.Telma. TREATMENT HISTORY k/c/o DM,HTN Not a k/c/o CAD,TB,asthma,chemo,radiation and blood transfusion. PERSONAL HISTORY Mixed diet Appetite Normal Sleep adequate Bowel and Bladder movements regular. FAMILY HISTORY Not significant  PHYSICAL EXAMINATION Temp- afebrile BP-130/70 mm hg Pulse rate-98/min Respiratory rate-22/min Spo2-98% GRBS-540mg% -No signs of pallor,cyanosis,lymphadenopathy,icterus. SYSTEMIC EXAMINATION  CARDIOVASCULAR SYSTEM • S1, S2 heard • No murmurs RESPIRATORY SYSTEM: • NVBS heard •Position of trachea - central •Breath sounds - vesicular ABDOME
Read more

CASE PRESENTATION

Image
  A 70 yr old male agriculture by occupation was brought to causality in an unconscious state since yesterday. CHIEF COMPLAINT:  Fever since 3 days  Abdominal pain since 3 days HISTORY OF PRESENT ILLNESS: *  Patient was apparently asymptomatic 1 week back after which he started Binge drinking for 2 days. *He developed Fever that last for 3 days and developed Abdominal pain Burning type both for which he was treated by local Doctor. * After that he developed weakness which is gradual in onset and was unable to stand for which he was admitted to local hospital where he was diagnosed to have DENGUE FEVER (through NS1 ANTIGEN Positive) and the Platelet Count was 24,000.  PAST HISTORY: *Patient is a known case of Chronic Alcoholism since 30 years and increased his intensity since last 3 years.  *smoking since 20 yrs, average 2  beedi per day TREATMENT HISTORY: * No Past history of treatment  PERSONAL HISTORY: * He is a chronic alcoholic since 30 years  * He is smoker since 20 yrs at an aver
Read more