General Medicine E- logs

  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. CASE PRESENTATION: A 54year old male ,came  with complaints of Hiccups since 4 days  Decreased Apetite since 4 days Generalised weakness since 4 days HOPI : Pt was apparently asymptomatic 7 years back and then had history of trauma to foot which was not healing went to hospital and was diagnosed as having diabetes initially on OHA and later changed to insulin (MIXTARD) Patient has similar complaints 8 months ago and 4 months ago and 1 month ago developed similar complaints of hiccups and was in altered sensorium and was diagnosed as altered sensorium secondary to dyselectrolytemia and CKD(Diabetic n

 My learning experience: During ward and nephro duties: Monitoring patients  Took venous samples for investigations Took abg samples  Attended case discussions in the clinical lecture hall regarding various cases During ICU duty: Learnt cpr Assisted for intubation  Foley's catheter insertion Ryle's tube insertion During psychiatry postings: Learning experience: - History taking  - Seen different cases - Schizophrenia, OCD, Depression - Attended Rounds in DAC During unit duty: Case 1: https://laharika29.blogspot.com/2022/10/55-year-old-female-with-fevercough-and.html 1.cause of fever spikes A.They are due to atypical pneumonia.The air sacs may be filled with fluid or pus causing cough, fever ,chills.variesty of bacteria , viruses and fungi can cause this. 2.Affect of pneumonia on blood sugar levels A.Individuals with inflammatory lung diseases have high blood sugar levels and show insulin resistance.It may also be the cause of uncontrolled sugar levels in this patient.  Case 2 h

  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. CASE PRESENTATION: A 65 year old female, came with c/o unresponsiveness since 2 days. Pt was apparently asymptomatic 5 days back ,then she developed pain in right hip and stopped going to work.she also had 1 episode of fever.  She is unable to recognize her family members properly, complaining of some one is going to attack her. She also had an episode of involuntary urination. H/O 90 ml alcohol intake every day since 5 years PAST HISTORY: Not a k/c/o DM/HTN/TB/ASHTMA/EPILEPSY/CAD  H/O Histerectomy 20 years back Personal History : Diet : mixed Appetite : Normal  Sleep : Adequate  Bowel movements : N

  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. CASE PRESENTATION: A 48 year old male came to casualty with c/o Vomiting since 1day Pain abdomen since 1 day HOPI: Patient was apparently asymptomatic 1 day back then he developed vomitings (20 episodes-non projectile, non bilious) He also had pain in the epigastric region which is non progressive,  non radiating.  No h/o fever/head ache No h/o cough/cold No h/o constipation/loose stools No h/o Burning micturition  No h/o bleeding manifestations  PAST HISTORY: Not a k/c/o DM/HTN/TB/ASHTMA/EPILEPSY/CAD  Personal History : Diet : mixed Appetite : Normal  Sleep : Adequate  Bowel movements : Normal  Bla