GENERAL MEDICINE FIRST INTERNAL PAPER

Comments

Post a Comment

Popular posts from this blog

General medicine E-log

Image
  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 left eye ball. After which patient went into coma for 3 months . He was taken to rk hospital Hyderabad treated there for 15 days than was brought back home . He was later taken to Khammam for treatment 3 times in a gap interval of 10 days still patient dint recover . Later they used some herbal medication and he regai
Read more

GENERAL MEDICINE CASE STUDY

Image
A 75 yr old male patient who is resident of nalgonda labourer by occupation came to our hospital for eye surgery  CHIEF COMPLAINTS: Loss of vision-left eye Itching all over th body HISTORY OF PRESENTING ILLNESS:  Patient has loss of vision in his left eye since one yr..he has itching all over the body since two months. HISTORY OF PAST ILLNESS: Patient was apparently asymptomatic 10 years back.Later,he developed deformities in his lower limbs(resorption and clawing of all the toes).he also lost all his senses(pain ,touch, temperature, vibration).he had hyperflexion of DIPJ nd hyperextension of PIPJ since 2-3 months .There is burning sensation allover his body. FAMILY HISTORY:     No history of DM HTN EPILEPSY asthma cardiovascular disease in his family PERSONAL HISTORY:  Mixed diet Married Normal bowel and bladder movements Abnormal sleep patterns No addictions GENERAL EXAMINATION: PHYSICAL EXAMINATION: No pallor  No icterus No cyanosis No lymphadenopathy No pedal edema Wasting of muscl
Read more

48 yr male with ascites, pedal edema since 2 months

Image
This is an a online e log book to discuss our patient 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 problem with collective current best evident based input. This E blog also reflects my patient centered online learning portfolio and your valuable inputs on the comment box is welcome. I have 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 diagnosis and treatment plan The patient/ attender was informed the purpose of the information being acquired. An informed consent was taken from patient/ attender and there is omission of information that was requested to be omitted.  CH
Read more