Viharika Vupputuri

  A 60 year old male complaints of swelling of right lower limb since 5 days. HISTORY OF PRESENTING ILLNESS Patient was apparently asymptomatic 5-6 days ago, then he developed a swelling over right lower limb near ankle joint as he scratched over the swelling which increased gradually and is associated with pain. GRBS- 542 mg/dl. No H/o fever, nausea, vomiting, burning micturation. PAST HISTORY K/C/o DM type 2 since 9 years on GLIMI-M2 N/K/C/O HTN, CVA, CAD, TB, Epilepsy, Thyroid disorder. PERSONAL HISTORY Diet - Mixed  Appetite - Normal  Sleep - Adequate  Bowel - Hard stools  Bladder - No burning micturation. DAILY ROUTINE Occupation- Tailor 6AM- Wakes up 8AM- Starts work 9AM- Breakfast 1PM- Lunch 6PM- Stops work 8PM- Dinner 10PM- Sleep FAMILY HISTORY - Not significant  GENERAL EXAMINATION Patient is conscious, coherent and co operative . Well oriented to time, place and person. Moderately built and nourished. No pallor, icterus, clubbing, cyanosis, lympha...

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 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. A 20 year old male driver came to opd wit complaints of  1) Fever since 2days  2) Vomiting since 6hrs HISTORY OF PRESENTING ILLNESS Patient was apparently asymptomatic 2 days back then he developed fever which is not associated with chills and rigors and relieved with medication. No diurnal variation. Vomiting since 6hrs with 3 episodes and content as food material, blood tinged, non bilious, non projectile. He skipped 1 dose on insulin yesterday evening. No h/o loose stools, pain...

  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 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. An 80-year-old male resident of Kamanpet was admitted with complaints of  1) Acute urinary retention for past 24 hrs. 2) Fecal retention for the past 24 hours. HISTORY OF PRESENTING ILLNESS The patient was apparently asymptomatic a month ago then he began experiencing bilateral lower limb and knee pain.  Patient experienced inability to defecate (accompanied by the absence of flatus) and urinate, along with shortness of breath since yesterday .  No H/o of fever, nausea, v...

  A 40year old male security guard by occupation  from narketpally was brought to casualty by his wife. CHEIF COMPLAINTS:- Cold since 3days Fever since morning Loose stools since morning Pain abdomen since morning  HISTORY OF PRESENT ILLNESS - Patient was apparently asymptomatic 3days ago then he developed cold then he developed  high grade fever since morning which is associated with chills and rigors, no aggravating and relieving factors. -c/o loose stools (10-12episodes) since morning. -c/o nausea and pain abdomen (umbilical region), diffuse, pricking type of pain. -No other c/o sob,orthopnea, pnd, chestpain, palpatations. -No c/o giddiness and lightheadness PAST HISTORY: No similar complaints in the past. No H/o Type II DM , Hypertension, TB, CAD , Epilepsy and Thyroid disorders. PERSONAL HISTORY:- Diet: Mixed Appetite: Normal Sleep: Adequate Bowel & bladder: Regular Patient was a occasionally alcoholic for about 15 years.Usually he consumes beer(1 bottl...

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 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. A 22 yr old female who is a student came with complaints of generalized weakness and easy fatiguability since 2 months  HISTORY OF PRESENTING ILLNESS Pt was apparently asymptomatic 5  years back then she started to have desire to eat non edible material and went to the hospital and was diagnosed with Anemia (Hb 4gm/dl) and 2 units of PRBC transfusion was done .  Since 2 months she is complaining of easy fatiguability with generalized weakness. C/o SOB(grade ll-III) insidious in ...