General Medicine

TREATING TEAM: Dr.Vijaya Lakshmi (Asst Prof) Dr.Laxma Reddy (PGY3) Dr.Manasa (PGY3) Dr.Ajith (PGY2) Dr.Durga Krishna (PGY1) Interns: Dr.Supriya Dr.Mohitha Dr.Sowmya Dr.Amrutha  Dr.Sanjay 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 patient's 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 the comment box is welcome. A 60 yr male agricultural worker from Akkinapalli came to casualty with   C/o difficulty in breathing from 15 days, C/o facial puffiness from 15 days, C/o pedal edema from 15 days, C/o decreased urine output from 15 days. HOPI: Patient was apparently asymptomatic 15 days back then he de

A 60 year old female who is a vegetable seller from Aravapally  presented to casualty with  c/o  dyspnea from one week,   dry cough from one week and fever from two days. HOPI Patient was apparently asymptomatic 20days back then she developed generalised weakness because of which she couldn’t do her routine duty. She has history of dyspnea one week back which was initially of grade 2 and later progressed to grade 4 within 3 days for which she was admitted to a government hospital, treated for URTI and  discharged in 3 days after relief of her symptoms.  During this time, she had dyspnea on exertion with excessive sweating which was progressive, increased on lying down, aggravated on walking and relieved with rest.  H/o Orthopnea and PND. RAT was Negative. Now she came with complaints of dry cough from one week, dyspnea from yesterday which is aggravated on lying down and relieved on sitting/rest. H/o fever from 2 days, low grade, intermittent and not a/w chills. No h/o chest pain. No h

 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 patient's 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 the comment box is welcome. Here is a case i have seen: A 38 year old male who is cab and lorry driver by occupation, resident of Anumula came to general medicine OPD with complaint of pain abdomen from 20 days. HOPI-  Patient was apparently asymptomatic 9 years ago then he developed pain in the epigastrium which was sudden in onset and progressive, nonradiating, no aggravating  and relieving factors. H/O alcohol intake prior to the episode for 2 months regularly(360 ml). No H/O vomitings.  Patie