GENERAL MEDICINE E-LOG BOOK may-2021

27 years male patient electrician by occupation came with chief complaints of pain abdomen since 4 months  This is an online elog book to discuss our patient's deidentified health data shared after taking her or guardian's signed informed consent. Here we discuss our individual patient 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 Elog also reflects my patient centre's online learning portfolio and valuable inputs on the comment box is welcome.  HOPI:- patient was apparently a symptomatic 4 months back, then he had a trauma where his relatives beaten him with stick at the left hypochondric region and  then he developed mild diffuse abdominal pain associated with bilious vomiting, 5 episodes for 5days contains food particles , then the pain subsided on taking medications and aggrevated on food intake,  After a few days ...

45 yr old female with B/L groin hydroureteronephrosis,B/L ureteric calculi ,Post right sided DJ stenting February 17-2022 This is an online elog book to discuss our patient's deidentified health data shared after taking her or guardian's signed informed consent. Here we discuss our individual patient 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 Elog also reflects my patient centre's online learning portfolio and valuable inputs on the comment box is welcome.  Case- 45 year old female patient came to OPD with c/o reduced urine output since 3days and difficulty in breathing since 3 days. HOPI- Patient was apparently asymptomatic before a year then she had no urine output since 3days. Sob- which is grade-IV, gradually in onset,gradually in progression,no positional variations and no aggregating and relieving factors. Vomitin...

28year old male with ureamic encephalopathy with CKD on maintenance hemodialysis January 12, 2022. 28 year old male pt , resident of nalgonda district who is a sales man in cloth store, presented to casualty  on 22/12/21  with  the chief complaints of A. H/o  fever  1 week back associated with chills . B.  H/o  sob  since 10 days, grade II - III. C . H/o chest pain since 3 days. Negative history   No H/o hematuria , frothy urine, nausea,  loose stools, decreased urine output, pedal edema. ( but there is history of vomiting during dialysis on 23rd) History of present illness:  Pt was apparently asymptomatic 10 months back (in February) then 1)  he noticed sudden loss of weight of about 10-15kgs, in a span of 1 & 1/2 months  for which he consulted local doctor where he was diagnosed to have CKD and his creatinine levels are high   2) for which he was advised to undergo dialysis I /v/o high creatinine level...