GM case-1

December 11, 2022 This is an online elog book to discuss our patients de-identified health data shared after taking his/her/guardians signed informed consent.Here we discuss our individual patients problems through series of inputs from available global online community of experts with an aim to solve those patients clinical problems with collective current best evidence based inputs.This elog book reflect s my patients centered online portfolio and your valuable inputs on the comments is welcome Date of admission:9/12/22 Chief complaints: 42 years old male patients with chief complaints of fever and headache since 5 days History of present illness: Patient was apparently asymptomatic 5 days back then he developed fever of low grade which reduced on taking medication Fever was associated with headache which was pricking type. Patient was diagnosed with renal failure History of past illness: Patient is a k/c/o hypertension since 1 year and is on regular medication Patient is not a k/c/o

November 30, 2022 This is an online e-log book to discuss our patient's de-identified health data shared after taking his/her/guardian's 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. A 55 year old male patient, daily labourer by occupation, resident of Narketpally, came to our hospital with cheif complaint of fever. Date of admission:- November 27, 2022 History of present illness:- Patient was apparently asymptomatic 5 days back and developed fever which is of high grade, not associated with chills and rigors, fever is nocturnal and not relieved on taking medication and developed generalized weakness and dragging type of pain of both lower limbs since 3 days and increased frequency of stools since 3 days. No history of cold and cough No history of bleeding from gums No

 November 01   2022   CASE OF ALTERED SENSORIUM SECONDARY TO DKA. 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 CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE BASED INPUT     A 50 year male farmer ,manual labourer,brought  to casualty with h/o altered sensorium since 1 day H/o fever since 4 days. HISTORY OF PRESENTING ILLNESS - Patient was apparently asymptomatic 4 days ago,then he developed fever which is high grade,No diurnal variation, associated with chills. No h/o cough and GE symptoms.  Attenders tells h/o stoppage of  OHA for 3days, h/o decreased intake of food as he has fever. H/o altered sensorium since 1 day. Irrelevant talk,not recognising attenders since this morning . Able to move all four limbs,No h/o

Nov 29 2022  CHIEF COMPLAINT   42 yr old male,autodriver by occupation came with chief complaints of swelling at the genital region since 6 days fever & shortness of breath since 1 week  History of present illness: The patient was apparently asymptomatic 8 years back then he had giddiness ,for which he went to local hospital and was diagnosed with hypertension.He was on regular medication. 2 years back he developed fever and pedal edema, for which he went to local hospital and on routine investigations he came to know that his creatinine was 4 mg/dl. He was given medication for the same, and the symptoms subsided. Presently,he complains of swelling in the perineal region from 6 days, associated with pain.It was drained by local RMP 4 days back. PAST HISTORY K/C/O HTN since 8 years. On regular medication  PERSONAL HISTORY Diet - mixed Appetite - normal  Sleep- adequate Bowel and bladder - regular Adictions- consumes alcohol regularly since 20 years. GENERAL PHYSICAL EXAMINATION  Pat