Greeshma

Name: A. Greeshma  Roll no : 148 Introduction:   65yrs old male came to gen medicine department with chief complaints of bilateral pain and swelling since 10 days , bilateral loin pain since 10 days, fever and chills since 8 days ,bilateral pain in inguinal region since  5 days ,loose stools since 3 days . HISTORY OF PRESENT ILLNESS: Patient was apparently asymptomatic 10 days back ,then he developed complaints of  bilateral pedal edema pitty type associated with pain and redness with local rise in temperature .he also had bilateral loin pain 10 days  back later he had complaints of fever associated with chills, intermittent,no diurnal variation since 5 days ,he had complaints of pain in  bilateral inguinal region  for which with all above complaints he was taken to hospital and was diagnosed as AKI on CKD  with bilateral lower limb cellulitis , he also had loose stools 3 days back  watery not associated with blood   which...

Name: A. Greeshma  Roll no : 148 Introduction:   40 yr old female came to gen medicine department with chief complaints of fever since 3 days , cold since 4days complaints of cough with sputum , body pains since 3 days , headache since 3days, nausea since 1 day,vomiting since 1 day. HISTORY OF PRESENT ILLNESS: Patient was apparently asymptomatic 4 days back. Then she was developed cold and fever which is high grade and intermittent , associated with chills and rigor  relieve on taking medication ,cough since 4 days which is productive and mucoid in colour and scanty amount . Body pains since 3 days  and  headache since 3days . Nausea since 1day and vomiting since 1 day with 3 episodes , non projectile, non bilious , food as content.       She went to RMP and took  unknown medication  but her symptoms were not come down so she came to kims hospital and she was admitted.  Past illness: No h/o burning micturition , chest pain...

eneral medicine bimonthly assessment October 25, 2021 A. Greeshma Roll no.148 Gastroenterology 1. https://vamsikrishnarollno16.blogspot.com/2021/10/a-case-of-64yrs-old-male-patient-with.html?m=1 COMPLETENESS:  •The case presented is correct with accurate data  CORRECTNESS  : •The history of the patient,symptoms and signs have been listed well. The  clinical images were provide  with the laboratory investigations. USEFUL LEADS TO ANALYZE THE DIAGNOSTIC AND THERAPEUTIC UNCERTAINTIES: All the investigations lead to the diagnosis of the case and better treatment of the patient. Hence, no diagnostic uncertainties were found. 2. https://63konakanchihyndavi.blogspot.com/2021/10/a-case-discussion-on-chronic-liver.html COMPLETENESS :  •The case presented is correct with accurate data.  •The  case has  completeness in all factors The case begins with the chief complaint the history of presenting complaints in a chronological order, past history, p...

MEDICINE CASE DISCUSSION 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 inputsThis e-log book also reflects my patient centered online learning portfolio and your valuable inputs on comment box is welcome     Adla Greeshma      Roll no: 148      3rd semester CASE PRESENTATION     A 61 year male farmer by occupation came to OPD  for hemodialys. COMPLAINTS AND DURATION   Patient was apparently alright 3 years back with complaints of lower back pain went to local hospital found out to be having RENAL FAILURE , on medication for 2 years ( with baseline serum creatinine 3mg/dl)  Then went to NIMS hospital on 08/...