44 J. Srinath reddy Assignment (Gen Med)

A 50 YEAR OLD MALE TRACTOR DRIVER BY OCCUPATION PRESENTED WITH CHIEF COMPLAINTS: Bilateral pedal edema since 3 months . Abdominal distension since 15 days . Itchy lesions on left hand and around head since 6 years. HOPI: Patient was apparently asymptomatic 3 months ago then he developed bilateral pedal edema insidious in onset & gradually progressive in nature, pitting type and extending upto knee joint.Then patient developed abdominal distension since 15days insidious in onset and gradually progressive in nature , no history of shortness of breath,chest pain,vomitings,hematemesis,dark colored stools,pain abdomen. No history of fever , cough , burning micturation, decreased urine output. H/O itchy lesion with hyperpigmented lesion on left hand and around head since 6 years (on & off).H/o exposure to occupational work with chemicals. PAST HISTORY: K/C/O HTN since 3 years on T.Telvas-H 40/12.5 PO/OD . Stopped medication 6 months ago. Not k/c/o DM/CVD/EPILEPSY/TB/ASTHMA. PERSONAL ...

  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 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-centred 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  CHIEF COMPLAINTS: Shortness of breath since 1 days Decreased urine output since 3days , anuria since morning  Facial puffiness since 3 days  B/l pedal edema since 1 week   HISTORY OF PRESENT I...

  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 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-centred 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 CHIEF COMPLAINTS:  Fever since 10 days Generalised weakness since 8 days Shortness of breath since 6 days HOPI : Patient was apparently asymptomatic 10 days back, then she developed fever ...

PLEURAL EFFUSION ASSOCIATED WITH LIVER ABSCESS JUNE 08 2022 A 51 year old patient who is a resident of chitayala ,who works is a laborer in a goods company came to the hospital with chief complaints of: Fever since 10 days  Shortness of breath since 10days  Cough since 7 days  HISTORY OF PRESENT ILLNESS : The patient was apparently a symptomatic  10days back then he developed high grade fever which was insidious in onset associated with chills and rigours and was relieved on taking medications . The patient was able to walk a kilometer 10 days back and later slowly was facing shortness of breath even after walking for short distances and which became so severe that even at rest he was feeling shortness of breath .Not associated with wheeze ,no Orthopnea, no paraxsomal nocturnal dyspnea ,no pedal Edema. Cough since 7 days which is productive mucoid in consistency, whitish, scanty in amount ,non foul smelling, non blood stained .more during night time and on supine pos...