39 G Sadhguna

 July 10 ,2022 

General medicine elog 


Hi , I am G Sadhguna ,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 portfolio. 

A case of 71 year old male patient resident of Nalgonda district came to OPD with complaints of with cheif complaints of slurring of speech.

History of present illness 

Patient was apparently asymptomatic 3 days back.

Slurring of speech was observed in the morning and immediately came to the hospital.

No headache

No chills and regors

No fever 

No body pains 

Past History 

Hypotension since 20 years 

Type 2 Diabetes mellitus since 20 years on insulin(2 times per day) 

Left below knee amputation 5 years ago due to diabetic foot 

N/K/C/O CAD, Epilepsy,TB,Asthama.

Personal History

Appetite normal

Diet mixed 

Bowel and bladder movements normal

Sleep adequate

Addictions - 10 years back patient used to drink Toddy and Sara occasionally.

10 years back used to smoke ciggerate (7-8 per day)

Atpresent no addictions

Family history

Not relavant

General Examination

Not conscious and cohorent 

No pallor, icterus,clubbing of fingers,cyanosis, lymphadenopathy,pedal oedema.

Vital Signs 

Pulse rate - 86bpm

BP - 120/90 mmHg 

Respiratory rate - 

















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