SahithiReddy158

  This is 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 patients clinical problems with collective current best evidence based inputs. This e-log book also reflects my patient centered online learning portfolio and your valuable inputs on comment box is welcome 65 year old male came to causality with chief complaints  Pain in the lower abdomen for 5 days  Shortness of breath for 5 days HISTORY OF PRESENTING ILLNESS: The patient was apparently asymptomatic 25 years back then he had a cough that was blood-stained when he was diagnosed with Tuberculosis ( by what test??) and was on ATT for 6 months after he was said that he is free from the disease. Then 2 years back then he started having shortness of breath Grade 2 ( sob on some physical activity) whic

 19 year old came with complaints of fever since 5 days This is 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 patients clinical problems with collective current best evidence based inputs. This e-log book also reflects my patient centered online learning portfolio and your valuable inputs on comment box is welcome . 19 year old male came with chief complaints of Fever  since 3 days Pain abdomen since 3 days Low back ache since 3 days Generalised weakness since 3 days HISTORY OF PRESENTING ILLNESS: Patient was apparently asymptomatic 3 days back then he developed fever which is insidious in onset , gradually progressive not associated with chills and rigors  C/O pain abdomen insidious in onset , diffuse type not associated with nausea /vomiting C/O lo

 INTERN ONLINE ASSESSMENT - General medicine  NAME - G.Sahithi Reddy DURING ICU DUTY CPR for 51 year old male   Assisted in Intubation  Monitored vitals of the patient.  Took ABG samples Inserted Foleys catherter DURING NEPHROLOGY Assisted in central line under the guidance of Dr . Saicharan Monitored vitals of patients during dialysis DURING WARD DUTY  Collected venous samples for routine investigations  Updated soap notes DURING UNIT DUTY CASE - 1  80 year old male with shortness of breath https://sahithireddy158.blogspot.com/2022/10/80-year-old-male.html Questions : 1) what is the provisional diagnosis? A) Altered sensorium(hypoactive) under evaluation      Right upper lobe fibrosis with hyperinflation of left lung 2) Causes of altered sensorium? Metabolic - uremia Infectious - no meningeal signs , features of encephalitis  Structural - no fnd , ct brain normal 3) Cause of Death? IMMEDIATE CAUSE : Type 2 respiratory failure secondary to ? Pulmonary embolism ANTECEDENT CAUSE: Right u

  40 year old with chief complaints of  GIDDINESS SINCE 3 DAYS LOOSE STOOLS SINCE 3 DAYS YELLOWISH DISCOLOURATION OF SKIN SINCE 2DAYS HISTORY OF PRESENTING ILLNESS : Patients was apparently asymptomatic back then he developed blebs on skin of the palm and thigh which was itchy and slowly progressed through out all the body over 2 months   No treatment was taken for the same   Lesions are non oozing, initially med which then turned dark and left as pigmented seat on the skin. later 3 days back patient developed loose stools and vomiting after using herbal medications for the lesions Patient skipped 3 days taking insulin   LOOSE STOOLS - water consistency , 20episodes/day , sticky , foul smelling not A/W food intake  VOMITINGS - whitish food , non projectile , not blood tinged  YELLOWISH DISCOLOURATION -  eyes and skin since morning with itching Patient developed ulceration @ Rt foot and had amputation of toe PAST HISTORY    K/c/o Diabetes since 8 years was started initially on OHA’s and

70 year old female came to opd with   chief complaints of fever since 15 days This is 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 patients clinical problems with collective current best evidence based inputs. This e-log book also reflects my patient centered online learning portfolio and your valuable inputs on 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 diagnosis and treatment plan. I have prepared this blog under the guidance of Dr. Sai Charan Kulkarni, Dr. Deepika  A 70 year old female came with chief complaints of C