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Showing posts from September, 2022

A 55 year old female with itching all over the body

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A 55 year old female, resident of Miryalaguda housewife by occupation came to hospital on 15/9/22 with  CHIEF COMPLAINTS        Itchy lesions all over of the body since 15 years . She complains of fever with pain with appearance of blisters . HISTORY OF PRESENT ILLNESS       The patient was apparently assymptomatic 15 years ago. Then she complains of itching all over her body associated with pain and fever and appearance of blisters. PAST HISTORY       No history of DM       No history of HTN        No history of CAD , Asthma , epilepsy, TB FAMILY HISTORY          A history of DM ,HTN         No History of CAD , TB , Asthma  PERSONAL HISTORY        Married        Farmer by occupation        Mixed diet         Normal appetite        Normal bowel movement        Normal micturition        Non alcoholic        Non smoker        No known allergies    GENERAL EXAMINATION         Conscious and coherent        Moderately built        Moderately nourished         No pallor        No icterus    

21 year old female patient with fever with chills and body pains

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Hi, I am Tejaswi Uppalapati, 3rd semester medical student. This is our patient's de-identified health data shared after taking his/her/guardian's signed informed consent. This elog also reflects my patient centered online learning portfolio.   A 21 yr old female housewife by occupation came with  Chief complaints : 1. Fever since 4 days 2. Vomiting 2- 3 episodes/day since 3 days 3. Body pains since 4 days HOPI : Patient was apparently asymptomatic 4 days back then she developed fever, more in the evening associated with chills relieved with medication. Then patient started having vomiting since 3 days 2-3 episodes per day with food as contents, non-projectile, non-bilious and not stained with blood. Patient had body pains since 3 days which was more in lower back, hands and legs which was not relieved with medication. No h/o headache No h/o diarrhea, vomiting. Past History : Not a k/c/o DM,htn,tb,asthma,epilepsy  On presentation: Pt conscious,coherent,cooperative,well oriented

82 year old male patient with fever and seizures

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  Hi, I am Tejaswi Uppalapati, 3rd semester medical student. This is our patient's de-identified health data shared after taking his/her/guardian's signed informed consent. This elog also reflects my patient centered online learning portfolio. CHIEF COMPLAINT 82 year old male patient , resident of muthkur came to opd with a chief complaint of fever since 5 days and involuntary movements in upper and lower limbs. HISTORY OF PRESENT ILLNESS   Patient was apparently asymptomatic 2 days back. In the afternoon he developed a high grade fever followed by involuntary movements in all the limbs. Tongue biting and uprolling of eye were also there. Was taken to hospital and medications were given. But later that night he developed those symptoms again. He had tongue biting, uprolling of eyes, involuntary micturition and Bowel movements with postictal confusion for around 5 minutes There is no history of similar complaints in the past Initially after regaining consciousness he couldn'

A CASE OF 40 YEAR OLD MALE WITH ALCOHOL DEPENDENCE AND FATTY LIVER

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' Hello, I am Tejaswi Uppalapati ,a 3rd semester medical student.     This is an online elog book to discuss our patients health data after taking his/her consent. This also reflects my patient centered online learning portfolio. CHIEF COMPLAINTS A 40 year old male resident of Nalgonda,who is a tractor driver and also farmer came hospital with chief complaints of  Nausea ,vomiting,generalised weakness,shortness of breath since 10 days  after consumption of alcohol  HISTORY OF PRESENTING ILLNESS  Patient was apparently asymptomatic 10 days back after which he started having weakness , shortness of breath,vomitings-4 to 5 episodes which were nonprojectile , non bilious which were  sudden in onset and occured after consumption of alcohol  He avoided alcohol for 3 years and consumed before 10 days.patient has been binge  drinking throughout the day since 10 days  When he doesn’t drink he presented with tremors,giddiness and craving for alcohol  PAST HISTORY  No past history of diabetes