SahithiReddy158

  58 year old male came with  Chief complaints: C/O HEADACHE FRONTAL REGION H/O LOSS OF SPEECH AND LOSS OF CONSCIOUSNESS FOR 1 HOUR IN THE AFTERNOON AT 11:00AM C/O COUGHING OUT BLACK COLOURED SPUTUM SINCE EVENING (9:30PM) > E episodes C/O SWAYING TO RIGHT SIDE SINCE AFTERNOON C/O HICCUPS SINCE NIGHT (9:30PM) C/O DIFFICULTY IN SWALLOWING AND HOARSENESS OF VOICE SINCE AFTERNOON HISTORY OF PRESENTING ILLNESS: PT WAS APPARENTLY ASYMPTOMATIC TILL TODAY AFTERNOON THEN HE DEVELOPED HEADACHE WHICH WAS FOLIO ONLATEY LOSS OF SPEECH AND FOLLOWED BY LOSS LA CONSCIOUSNESS FOR ONE HOUR. FROM EVENING PATIENT STARTED COUGHING BLACK COLOURED SPUTUM (47 EPISODES). PAST HISTORY: K/C/O HTN SINCE 2-3 YEARS ON REGULAR MEDICATION ( T. TELMISARTAN 40MG + T.CLINIDIPINE 10MG) K/CIO DM-II SINCE 2-3 YEARS ON IRREGULAR MEDICATION ADDICTIONS- ALCHOHOL SINCE 30 YEARS SMOKING SINCE 30 YEARS O/E- PT IS CIC/C VITALS-BP-210/140 MMHG PR-116BPM RR-22CPM TEMP-101.1F SP02-94%AT RA GRBS-197MG/DL PALLOR-RESENT ICTERUS- ABS

  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