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Internals paper

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19 year old with fever and headache

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19 year old male came to OPD with chief complaintsvof fever and headache and generalised weakness since yesterday. HOPI :  Patient was apparently asymptomatic till yesterday then he had fever with high grade sudden in onset intermittent associated with chills. Also complains of headache in the frontal region since yesterday and generalised weakness. No H/o nausea, vomithing,cough and soreyhroat. No H/o burning micturition,hematuria,Malena,pain abdomen. No H/o chest pain , palpitations and syncope attack. No history of photophobia, photophobia, watering of eyes Past History: No H/o DM ,HTN ,Thyroid ,Asthma ,CAD, Epilepsy. Treatment History: He is not on any treatment. Personal History: Diet ‐ mixed. Appetite ‐ Normal  Sleep ‐ adequate. Bowel and Bladder movements ‐ regular. Micturition -normal. Addictions: occasionally consumes toddy. Family History: Not significant. General Examination:  the patient is conscious, coherent, cooperative, moderately built and nourished. He i...

57 year old male with pain in right loin,frothy urine, fever and decreased appetite.

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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 patients 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 comment box is welcome.  A 57 year old male resident of narketpally came to the OPD with chief complaints of pain in the right loin , froathy urine ,fever and decreased appetite since 10 days. HOPI: patient was apparently asymptomatic 10 days back then he had pain in the right loin region which is insidious in onset and gradually progressive not associated with nausea vomithing and loose stools. H/o froathy urine  fever with chills and rigor and decreased appetite since 5 days. Altered sensorium since 4 ...

61 year male with pain in left loin, decreased urine output,fever and constipation

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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 patients 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 comment box is welcome.  A 61 year old male resident of agaram came to the OPD with  chief complaints  of pain in the left loin , decreased urine output,fever and constipation since 10 days. HOPI: patient was apparently asymptomatic 10 days back then he had one episode of vomiting followed by fever associated with chills and rigors.Then he had pain in the left loin which is associated with decreased urine output.Then he also developed constipation with diffuse pain in the abdomen.The pain in the left l...

19 year old with fever and cough

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  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 patients 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 comment box is welcome.  A 19 year old girl, hailing from Narketpally,  came to the OPD with  chief complaints  of fever and cough since 15 days HOPI: patient was apparently asymptomatic 7 months back she developed fever, after the fever subscied she started having pain in the small joints PIP, DIP, MIP etc. Subcided with medication and relapse after stopping the medication.patient had h/o of migratory polyarthritis, h/o of dragging type of pain in both lower limbs( ankle joint spared), h/...

61 year old male with loss of consciousness

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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. New admission, icu bed 4 61 Yr male ,  C/C Came with chief complaints of brief loss of consciousness on 19/08/22. His GRBS on admission was 39mg/dl. After connecting on 25D he regained his consciousness. HOPI Pt was apparently asymptomatic 3 yrs back Then he developed weakness for which he went to hospital & diagnosed with HTN & was started on Tab. TELMA- AM . But was on irregular medication. Then he was fine till yesterday night. Then he had dinner & took HTN medication...