general medicine

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An 80 year old female with pyrexia

January 16, 2023

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 input. CHIEF COMPLAINT: Pt complaints of fever since 15 days and headache since 1 week HISTORY OF PRESENT ILLNESS: Patient was apparently asymptomatic 2 weeks back then she developed fever which is intermittent fever associated with headache and was not relieved on medication. Fever is aggrevated at night H/O headache No history of vomitings No history of loss of appetite No history of SOB PAST HISTORY: H/o thrombocytopenia Not a known case of hypertension, diabetes, epilepsy, asthma. FAMILY HISTORY: No family history PERSONAL HISTORY: Diet- mixed Appetite- normal Bowel and bladder movements- Regular Allergies

PREFINAL EXAMINATION PAPER

December 11, 2022

A 14 YEAR OLD MALE WITH ATT INDUCED HEPATITIS

December 11, 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 input. CHEIF COMPLIAN: Patient complaints of fever since 5 days and vomitings since 3days ( 5-6episodes). HISTORY OF PRESENT ILLNESS: Patient was apparently asymptomatic 1 month back then he developed fever, which is high grade fever, not relieved on taking medication. H/O 5-6 episodes of vomiting , which is bilious, non projectile History of night sweatings K/c/o gangrene on finger tips No history of loss of appetite No history of short ness of breath PAST HISTORY: Not a known case of, hypertension, diabetes, epilepsy, asthma. K/c/o of tuberculosis since 15days K/ c/o SLE since 2months. H/O injury to index finger

55 year old male with acute pancreatitis

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 CHIEF COMPLAINT: 58yr old male patient ,he's a cook by occupation came to casuality with a C/O pain in upper abdomen, with vomitings since yesterday morning. HISTORY OF PRESENT ILLNESS: Patient was apparently asymptomatic upto yesterday Later he developed pain in upper abdomen Which was sudden in onset Progressive and non radiating and not relieved on medication. H/O Vomiting since today mrng 5-6 episodes,water as content,non projective ,non bilious No H/O fever, constipation, loose stools Patient started drinking alcohol 15yrs back ,he consumes 90ml daily at night. HISTORY OF PAST ILLNESS: N/K/C/O HTN,

31 year old male with acute pancreatitis

November 30, 2022

CHIEF COMPLAINT: 31 yr old male patient ,farmer by occupation came to casuality with a chief complaint of abdominal pain since 5 days HISTORY OF PRESENT ILLNESS: Patient was apparently asymptomatic 10 yr back then started drinking alcohol with friends occasionally which then gradually turned into a habit. Since then patient used to consume 90-180mg/ 7 days a week for approximately for 6-7 yrs till 20 days back. 15 days back patient complained of Abdominal pain gradually Progressive, Aggrevated after food consumption.Having similar complaints of Episodes and abdominal pain for every 6months /1 year over the last 6 years.patient went to a local hospital where he was diagnosed with Chronic pancreatitis. HISTORY OF PAST ILLNESS: No history of HTN,DM,CAD,TB,epilepsy PERSONAL HISTORY: Appetite-normal Diet-mixed Bowel and bladder Movement-Regular No allergies Alcoholic regularly GENERAL EXAMINATION: patient is Conscious,coherent and cooperative -No pallor -No icterus -No lymphadenopathy -No

60 year old male with generalised weakness

April 25, 2022

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 inputs. C/o : Decreased urinary output Generalised weakness Loss of appetite Twiching movements since evening HOPI : Pt. was apparently asymptomatic 2 days back and then complained of generalised weakness and decreased urination, loss of appetite, since 2 days. Then he was referred to our hospital and fluids were infused. Since evening weakness worsened and pt developed twiching movements of the left upper limb and was dehydrated. K/C/O DM type 2 since 7 years N/K/C/O HTN, asthma, TB, Epilepsy Vitals : Pallor is seen No cyanosis No Lymphadenopathy No icterus No edema Moderate dehydration Temp - afebrile Pulse rate -

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