General medicine e log

 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

 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.  CHEIF COMPLAINTS  A 60 year old male who is farmer by occupation resident of achampeta came to OPD with cheif complaints of swelling of the right foot and tingling sensation of both right leg and right upper limb since 10 days HOPI  Patient was apparently asymptomatic 10 days ago.Then he had sudden weakness in the right upper limb and right lower limb.Patient was unable to walk and lift his right upper limb.Then he consulted nearby RMP 10 days ago where he was given some medications.Patient was unable to walk and so he had injury to the right big toe 7 days ago.Still the patient has no relief from the symptoms so he visited to OPD on  27 December2022. PAST HISTORY   K/C/O Diabetes ,BP since 6 months  N/K/C/O Asthma,TB,CAD,Epilepsy  Patient complaints of occasional

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.  CHIEF COMPLAINT- A 35 year old male patient resident of choutuppal and driver by occupation presented to the department with chief complaints of fever along with pain and swelling with pus on the sole of the right foot near the second toe since 10 days.  HOPI - The patient was apparently asymptomatic 10 days ago. He developed fever which was continuous and along with it he also noticed a swelling on the plantar surface of right foot near his 2nd toe associated with pus.He also had pedal edema on right leg. He visited a RMP ten days ago and was prescribed medications which reduced his fever for a while but did not reduce the swelling. After 3 days he visited the department as his fever didn't reduce and the swelling and the pus oozing had increased. He had no hi

 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 61 year old male patient who is a farmer by occupation resident of yadadribhuvanagiri, came to CKD for dialysis  having symptoms of severe backpain,fever and SOB  HISTORY OF PRESENT ILLNESS Patient was apparently asymptomatic 1 month back  1 month back he developed severe bodypains mostly back pain associated with itching  He also has symptoms of giddiness and headache  With these symptoms he went to meet RMP doctor and the doctor suggested antibiotics still his symptoms were not decreased  On 12-12-2022 he went to hospital near mothkur there he was diagnosed with blood infection  On  17-12-2022 he went to hospital near Janagam as his pains were not reduced there he was diagnosed with kidney problem doctor suggested to undergo dialysis but the hospital

 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 64 year old male patient came to who is laborer by occupation and resident of choutupal,came to OPD with cheif complaints of  Cheif complaints  Patient was apparently asymptomatic 2 months ago and then developed decreased urine output and abdomen discomfort   History of present illness  He was suffering with chronic kidney disease and he was undergoing dialysis   He has on and off fever during dialysis  Weakness present No vomitings ,headache,bodypains  Past history    Patient became unconscious 7-8 yrs back and admitted in the hospital and was diagnosed with kidney problem  1 year ago he came to Kims for better treatment 

 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