General medicine e log

 A 20 yr old male patient came to OPD with chief complaints of cough and cold since 1week. HOPI Patient was apparently asymptomatic 1week ago.he then developed cold which was sudden in onset for which he used citrizine still the symptoms are not relieved. He also complained of dry cough , headache and bodypains. There is no history of fever , SOB PAST HISTORY N/k/c/o- HTN,DM,asthma ,TB,CAD,CVA FAMILY HISTORY Insignificant PERSONAL HISTORY Mixed diet Appetite -normal Bowel and bladder movements -regular Sleep adequate No addictions GENERAL EXAMINATION Patient is examined in a well lit room  Moderately built and well nourished No Pallor  No icterus No cyanosis No clubbing of fingers No lymphadenopathy No pedal edema VITAL SIGNS Temp-afebrile Pulse rate -68bpm  Resp rate -16cpm  Bp-110/70mmhg

 A 17 year came to OPD with chief complaints of tremors in the right leg since 2 and half months HOPI  Patient was apparently asymptomatic 2 and half months back.he then developed tremors which was sudden in onset and continuous . Tremors were seen when he touches the sole to the ground and disappears when foot is lifted from ground.tremors were also relieved during sleep . He also complained of bilateral leg pain when he walks for more distance . He also has complaints of headache since 5 days. PAST HISTORY N/K/C/O-DM ,HTN ,asthma ,TB ,CAD,CVA FAMILY HISTORY Insignificant PERSONAL HISTORY Mixed- diet Appetite -normal Bowel and bladder movements -regular Sleep-adequate No addictions No allergic history  GENERAL EXAMINATION Patient is examined in a well lit room  Moderately built and well nourished No Pallor  No icterus No cyanosis No clubbing of fingers No lymphadenopathy No pedal edema VITAL SIGNS Temp-afebrile Pulse rate -74bpm  Resp rate -16cpm  Bp-110/70mmhg