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GENERAL MEDICINE 10

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A 50 YEAR OLD MALE PATIENT COME TO THE CHIEF COMPLAINT OF PAIN IN UPPER ABDOMEN AND Since NIGHT  Hi I'm Soniya , 3rd sem medical student .This is an online elogbook to discuss our patients health data after taking her consent.This also reflects my patient centered online learningortfolio  50 year old male who is farmer by occupation resident of nakerekal  came to OPD with cheif complaints of  pain in upper part of  abdomen since yesterday night and known history of alcohol intake  Which is not radiating HoPI:  Patient was apparently asymptomatic 1 day ago then he. Developed pain in abdomen which is gradual onset  known history of alcohol intake  Pain is not associated with radiation No aggregating and reliving factor are present  No history of vomiting    No  history of loose motions  PAST HISTORY Similar complaint are present in the past 3 episode s and he daignosed with acute pancreatitis  he is on same unknown medication  A know history of daibetes  since 2 years.  No history
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GENERAL MEDICINE 9

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A 55 YEAR OLD MALE PATIENT CAME TO OPD WITH THE CHIEF COMPLAINT OF SWELLING OF THE RIGHT FOOT ND TINGLING SENSATION OF BOTH LEGS SINCE 1 WEEK  Hi   I'm Soniya , 3rd sem medical student .This is an online elogbook to discuss our patients health data after taking her consent.This also reflects my patient centered online learningortfolio 55 year old male who is farmer by occupation resident of achampeta came to OPD with cheif complaints of swelling of the right foot and tingling sensation of both right leg and right upper limb since 1 week  HOPI  Patient was apparently asymptomatic  1 week  ago .Then he had sudden weakness in the right upper limb and right lower limb . Patient was unable to walk and lift his right upper limb.Then he consulted nearby RMP 1 week ago where he was given some medications. Patient had a history of injury to the big toe followed by swelling of the right foot. Still the patient has no relief from the symptoms so he visited to our hospital  PAST HISTORY:  Akno
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GENERAL MEDICINE 8

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   A 70 YEAR OLD MALE PATIENT COME TO THE CHIEF COMPLAINT OF SHORT NESS OF BREATH.FEVER.COUGH  Hi   I'm Soniya , 3rd sem medical student .This is an online elogbook to discuss our patients health data after taking her consent.This also reflects my patient centered online learning portfolio. CASE STUDY   C.C  A 70 year old male patient. agriculture by occupation resident of Haliya  come to the chief complient of  Short ness of breath since 6 days  Fever since 6 day Productive cough since 6 days with chest pain  HoPI; Patient was apparently asymptomatic 15 years ago then he developed cough which is dry and breath less ness  are present they are seasonal and diurnal variation(night >mrg) In winter they are more common  Since 3 years breath less ness showed no seasonal variation  Sob is aggressive during agriculture activity relived by rest Patient had aknown history of road traffic accident 1 year ago (spine deformity)  Later he developed hypokinesia ( CAD ) he is on anti platelet
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GENERAL MEDICINE 7

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19/ 12 /2022 A13 YEAR OLD FEMALE COME TO THE CHIEF COMPLAINT OF BLOOD IN URINE AND SWELLING OF THE BODY Hi I'm Soniya , 3rd sem medical student .This is an online elogbook to discuss our patients health data after taking her consent.This also reflects my patient centered online learning portfolio. CASE STUDY   C C  : A 13 year old female resident of sarempet came to the chief complaint of generalized swelling of body since 1month  Fever since 1 month Blood in urine since 1 month  HOPI : Pt was apparently asymptomatic 1 months ago then she developed  fever low grade intermittent type relieved with medication  Not associated with chills and rigor Vomiting  which is non bilious  contain small food particles 4 episodes/ day  Loose stools 3 to 4 episodes/Day Not associated with pain  Now patient presented to the OPD with the complient of hematuria  which is red in colour since 1 month No burning micturition Decreased urine out put  Then she developed initially both lower limb of pedal e
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GENERAL MEDICINE BLOG 6

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28 July 2022  A 67 OLD MALE PATIENT CAME WITH THE RIGHT FOOT DROP AND UNABLE TO WAIK.  Hi I'm Soniya , 3rd sem medical student .This is an online elogbook to discuss our patients health data after taking her consent.This also reflects my patient centered online learning portfolio. CASE SHEET; CC; A 67 Old male.farmar by occupation  residence of Nagarjune Sagar.came with the rt foot drop and unable to walk HoPI ; pt was apparently asymtomatic 15 years ago then he developed knee joint pain using NSIDS then daily start analgesic unknown medication 10 years ago he presented with pedal edema 3 years ago he slip and fell down  (traumatic injury) occur low back but no Lba After 3 days pt developed Left foot drop and lost sensation over left foot he took some intraarticular inj  and he walking all these days    HTN  2 months ago  using medication 6 days ago pt developed right foot drop sudden onset  5 days ago he developed with DM Grade 2 and 3 RPD change noted in both kidney w
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GENERAL MEDICINE BLOG 5

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July 21 2022  A 55 Year OLD MALE PATIENT . AGRICULTURE BY OCCUPATION CAME WITH THE DECREASED URINE OUTPUT AND DECREASED RESPONSIVENESS Hi, I am G soniya 3rd sem medicalstudent.This is an online elog book to discussour patients health data after taking her consent.This also reflects my patient centeredonline learning portfolio. Chief complaints: A 55 year old male patient agriculture by occupation came with the chief compliant of DECREASED URINE OUTPUT since night and decreased responsive ness HoPI:  Pt was apparently asymtomatic 10 years ago then he started consuming alcohol occasionally during festivals  then he gradually increased in quantity of consuming alcohol intake every day Pt doesn't experience any sleep disturbance or tremors or palpitation if he doesn't consume  alcohol  At5 years back   he  taking excessive amount of alcohol in night which is denoted by pt personal stress Then he stopped food intake since 3 days  And continues bring alcohol since 3 days Decreased u
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GENERAL MEDICINE BLOG 4

July 19, 2022. (GM ) A 49 YEAR OLD MALE PATIENT CAME WITHSEVERE VOMITINGS AND HIGH BLOOD SUGARS. Hi, I am G.soniya  3rd sem medicalThis is an online elog book to discussour patients health data after taking herconsent.This also reflects my patient centeredonline learning portfolios CHIEF C OMPLIONT: A 47 year old male  driver by occupation came with the c.c of  vomitings since 2:00 a.m.-( 8-10 episodes)   HoPi:The patient was apparently asymtomatic 10 years back then he had fevar generalized weakness for which he got checked with the local doctor and he daignosed with type 2 DM and started with OHA  A year later he developed head ache was daignosed with hyper tension for which he used medication for an year and stopped them 15 days back the pt had symptoms of headache with blockouts he also developed vomiting 3 to 4 episode s for which he went to a local hospital and daignosed with acute ischemic stroke   A day back the pt woke up in the middle of night at 2' clock and had vomiting
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