R.Sravani General Medicine Case-1

 Case of Gastroenteritis  A 70 year old female presented to opd with chief  complaints of lower back pain since 10 days and  Blebs on right foot since 20 days . Patient had a fever 15 years back,went to hospital for check up and got to know that she is hypertensive patient . 10 years ago patient had joint pains,mostly elbow joint (patient is not aware of sequence of the pain ) 8years back ,joint pains aggravated , started using medications , pain got subsided, stoped using medications and pains started again. 4 years ago underwent tooth extraction when she fell down doing some work. 3 years ago ,had fever ,admitted in our hospital, found that she had some renal problem (no records available ) and later discharged. One year ago ,patient had facial puffiness,generalized weakness with multiple joint pains. 5 months ago,had severe wrist joint pain with restricted movement, distal interphalangeal joint pain,proximal interphalangeal joint pain . 10 days ago, developed bleb...

Case of Generalized body Swelling A 70 year old male farmer presented to OPD with  chief complaints of Scrotal swelling since 15 days ,  SOB since 10 days with generalized anasarca,  Constipation since 12 days (passing stools only on  medication ) Patient was apparently alright 1 year back  When developed -  Cellulitis of right lower limb (due to DM-II) On 15/10/21 -  He developed swelling of the right leg till the knees and  facial puffiness, for which he visited doctor and was  treated for the same and it subsided later on.  On 16/10/21-  on usg - mild left pleural effusion On 15/11/21-  Generalised body swelling, scrotal edema,  decreased urine  output and after 2 days sob ON 16/11/21-  He visited the doctor and  on usg - scrotal wall cellulitis RBS- 279 Blood urea- 97 Raised serum creatinine-3.6mg/dl  Serum Utica acid- 7.6mg/dl LFT- within normal range, albumin-3.5 He was treated with-  Inj.cef...

 1. Anatomical and ethiological localization for hemiparesis and further management.  2.Ethiology pathogenesis clinical features management complications of Acute pancreatitis.  3.Clinical features and Complications of Dengue fever. 4. Cushing's syndrome  5. Mandibular advancement device . 6.Cardiogenic pulmonary edema  7.Rheumatoid arthritis  10.Ascites 9.Heart failure  16.Oral Hypoglycemic agent  11.Pyrexia 12.Drug induced liver injury 14.Renal artery stenosis 15.Acute Kidney injury 17.Microvascular and Macrovascular complications of Diabetes  19.Metabolic acidosis  20.Iron Deficiency anemia 

This is an online elog to discuss patient deidentified health data shared after taking his /her guardian signed informed consent.Here we discuss about our individual patient's problem through series of inputs from available global online community of experts with an aim to solve the patient's clinical problem with collective current best evidence based input .  This eblog also reflects my patient's centered online learning portfolio and your valuable inputs in the comment box is welcome. Date of admission : 04/08/2021 A 55 year old man,mechanic by occupation presented to the OPD with chief complaints of decreased urine output since 1 day. HISTORY OF PRESENT ILLNESS :  Patient was apparently asymptomatic from past one year.On date 20/7/2021 patient had sudden onset of shortness of breath so taken to hospital,treated with oxygen supply. Doctors told him that he has elevated creatinine levels in blood and advised to undergo dialysis. On 26/7/21 patient is being prepared for ...