S Princy rose

Hi, I am s princy rose , 3rd sem medical student.This is an online elog book to discuss our patients health data after taking her consent.This also reflects my patient centered online learning portfolio. August 27,2022 Case scenario....... CASE SHEET: Chief complaints: A 43 old man presented with shortness of breath, orthopnea, PND and decreased output since one month  HISTORY OF PRESENT ILLNESS: Apparently asymptomatic one month ago and developed SOB , orthopnea and decreased urine output  ASSOCIATED DISEASES: Diabetes mellitus, hypertension  PAST HISTORY: Post CPR status revived  K/c/o diabetes mellitus since 10 years K/c/o HTN since 3 years PERSONAL HISTORY:  Appetite normal , mixed diet ,bowels regular, mituration normal , no known allergens, no addictions FAMILY HISTORY: No prominent history  DRUG HISTORY: Diabetes mellitus  Hypertension  CAD GENERAL EXAMINATION: >Pallor : Present >Icterus : Not seen >Cyanosis : Not seen >Clubbing : Not seen >Lymphadenopathy : Not s

August 23,2022 Case scenario....... Hi, I am S Princy Rose , 3rd sem medical student.This is an online elog book to discuss our patients health data after taking her consent.This also reflects my patient centered online learning portfolio. CASE SHEET:49 year old women with fever  Chief complaints: complaint of fever since 10 days Generalized weakness since10days Nauseaand decreased appetite since 10 days A50 year female came to OPD complaint of high grade intermittent fever with chills relived on medication.history of generalized weakness since10days and nausea decreased appetite since 10 days. History of abdominal discomfort as tightness since 15 days not an constipancy No history of headache /cold/cough/chestpain HISTORY OF PRESENT ILLNESS:    She sought For consultation at local RMP and medication given. fever relived upon taking medication associated with excessive sweating .she had fever spikes since then used high end antibiotics.now admitted for further management and treatment

August 22,2022 Hi , Iam Princy rose ,3rd semester student. This is an online elog book to discuss our patients health data after taking his consent. This also reflects my patient centered online learning portfolios. CASE SHEET: Chief complaints: Fever associated with chills and rigor since one week with high grade fever .  Difficulty in walking since 3 days Bilateral lower limb weakness 3 days Diagnosed with Type 2 diabetes mellitus since 10 years  HISTORY OF PRESENT ILLNESS: Since one week she's having high grade fever with chills and rigors after that she complaint of decreased food intake and she missed OHAs since 2 days .c/o difficulty in walking and bilateral lower limb weakness. C/o passage of urine and stools in clothes due to weakness in lower limbs since two days  ASSOCIATED DISEASES: Type 2 diabetes mellitus  Hyperthyroidism PAST HISTORY: Is a k/c/o diabetes mellitus on OHAs since 10 years  K/c/o hyperthyroidism on T.neomercazole since 20 years  Is not a k/c/o HTN/Asthma

August 21,2022 August 19,2022 Case scenario....... Hi, I am s princy rose , 3rd sem medical student.This is an online elog book to discuss our patients health data after taking her consent.This also reflects my patient centered online learning portfolio.   A 28 year old man presented with fever and stool with blood  CASE SHEET:  Chief complaints: stool with blood, intermittently from 1and half year HISTORY OF PRESENT ILLNESS:previously he admitted at miryalaguda clinic.there he came to know his haemoglobin level is 3 .there doctor suggested to do colonoscopy  but for doing colonoscopy his haemoglobin should be 7gm/dl.so there by he came to kamineni for blood transfusion. ASSOCIATED DISEASES: nill PAST HISTORY: polio at age 5 PERSONAL HISTORY: students FAMILY HISTORY: nill DRUG HISTORY: GENERAL EXAMINATION VITALS: Temperature: 97° f Pulse:__97_ beats per minute Respiratory rate: _20__cycles per minute Blood pressure: __100/70__ mm of Hg SPO2: ___97% SYSTEMIC EXAM

August 16 , 2022 Hi ,  Iam Princy rose ,3rd semester student. This is an online elog book to discuss our patients health data after taking his consent. This also reflects my patient centered online learning portfolios. A 65 year old woman farmer by occupation came to causality with complaints of shortness of breath and pedal edema. CHEIF COMPLAINTS : > SOB for last 4 days  > Cough for last 4 days > Pedal edema for last 4 days > Pain in lower limb for last 4 days  HISTORY OF PRESENTING ILLNESS :  Patient was apparently asymptomatic 4 months back. In April , She had SOB on exertion with tingling sensation in both upper and lower limbs, pedal edema and decrease in urine output ( creatinine : 3.1mg/dl ) for which she got treated in local hospital and her symptoms got relieved.   She had nausea , vomiting ,weakness ,burning micturition and pain in lower limb (creatinine : 3.8mg/dl uric acid:5.6mg/dl) again by end of June for which she was treated and all her complains got re