Poudala hrudaii roll no 126

C/O  FEVER SINCE 6 DAYS   PATIENT WAS APPRENTLY ASSYMPTOMATIC 6 DAYS BACK THEN SHE DEVELOPED FEVR , HIGH GRADE INTERMITTANT TYPE ASSOCIATED WITH CHILLS AND RIGORS RELIVED TEMPOARARILY ON MEDICATION NO DIURNAL VARIATION   SINCE 2 DAYS ASSOCIATED WITH BODY PAINS  NOT ASSOCIATED WITH COLD COUGH VOMITING LOOSE STOOLS  PAIN ABDOMEN HEADACH GIDDINESS  PATIENT WAS ADMITTED IN OUTSIDE HOSPITAL AND CONSERVATIVE MANAGMENT WAS GIVEN OUTSIDE PLATLET COUNT WERE 28000 K/O CASE OF DMII 3 YR N/K/C/O HTN CVA CAD TB ASTAMA SEIZURE GENERAL EXAMINATION: PATIENT IS CONSCIOUS,COHERENT, COOPERATIVE,WELL ORIENTED TO TIME,PLACE AND PERSON. NO PALLOR,ICTERUS CYANOSIS,CLUBING, LYMPHADENOPATHY,EDEMA. VITALS: TEMPERATURE:99   BP:100/60 MM HG PR:84 BPM RR:18 CPM SYSTEMIC EXAMINATION: CVS:S1,S2 HEARD NO MURMURS. CNS:NO FOCAL NEUROLOGICAL DEFICITS TREATMENT GIVEN : TAB GLIMI M2 PO BD TO CONTIUE 7AM -7PM TAB DOLO 650 PO /SOS TAB NEUROBIONE FORT PO /OD 2 PM FOR 15 DAY S ...

 A 14 YR OLD PATIENT CAM TO THE OPD WITH THE CHIEF COMPLAINTS OF  C/O. SHORTNESS OF BREATH SINCE 1 MONTH          CHEST PAIN SINCE 1 MONTH      HISTORY OF PRESENTING ILLENESS :  PATIENT WAS APPRENTLY ASSYMPTOMATIC 1NMONTH BACK THEN SHE DEVELOPED  SOB WHICH IS  GRADE II NHYA ,INSIDIOUS IN ONSET   CHEST PAIN  INSIDIOUS IN ONSET INTERMITTENT AND GRADUALLY PROGRESSIVE    PAST ILNESSS : N/K/C/O DM, HTN ,THYROID       THERE IS A HISTORY OF CONSANGUINOUS MARRIAGE    2d echo video : https://youtube.com/shorts/NsCPJIgtTJs?feature=share    

 Came to the opd with cheif complaints of fever since 3 days and  body pain since 3 days ,  sob since 1 day  c/o FEVER SINCE 3 DAYS C/O BODY PAINS SINCE 3 DAYS C/O SOB SINCE 1 DAY PATIENT WAS APPARENTLY ASYMPTOMATIC 3 DAYS AGO THEN HE DEVELOPED FEVER SINCE 3 DAYS HIGH GRADE FEVER CHILLS+ CONTINOUS TYPE INSIDIOUS ONSET GRADUALLY PROGRESSIVE NO AGGREVATING AND RELIEVING FACTORS ASSOCIATE WITH BODY PAINS AND GENERALISED WEAKNESS ASSOCIATED WITH SHORTNESS OF BREATH SINCE 1 DAY GRADE II NO H/O COUGH NO H/O CHEST PAIN PALPITATIONS OUTSIDE REPORTS PLATELETS 13000 K/C/O DM II SINCE 10 YRS ON TAB GLIMI MI PO OD K/C/O HTN SINCE 1 YEAR ON TAB METXL 50 MG PO OD H/O EYE SX RIGHT EYE CATARAC OUTSIDE REPORT platelet 13000 DM II SINCE 10 YR AND ON TAB GLIMI MI AND HTN SINCE 1 YR ON TAB METEXL 50MG                                 ...

    I AM P HRUDAII , 2018 batch INTERN. I THANK DR. RAKESH BISWAS SIR HOD   This is a compailation of work blogs and PAJR created during my medicine rotation! 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 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-centred online learning portfolio and your valuable inputs on the comment box is welcome."I've been given this case to solve in an attempt to understand the topic of "patient clinical data analysis" to develop my competency in reading and comprehending clinical data including history, clinical findings, investigations and come up with a diagnosis and treatment plan.   PSYCIYATRY: CA...