34vijayaratnadande

Hi, This is Vijaya Ratna,5th sem medical student.This Elog depicts the patient centered approach to learning. This is an online eLogbook recorded to discuss and comprehend our patient's deidentified health data shared, after taking his/her/guardian's signed informed consent. **This is an ongoing case.I am in the process of updating and editing this Elog as and when required** Date of admission : 27/07/2022 A 46 year old male patient, farmer by occupation, resident of nalgonda came with chief complaints of  1. Shortness of breath since 6 years 2.Cough since 4 years (on and off) 3. Pedal oedema and facial puffiness since 3 years. 4. Abdominal distension since 3 years.  5. Hard stools since 10 days.  HISTORY OF PRESENT ILLNESS Patient was apparently asymptomatic 6years ago. Then developed shortness of breath which was initially grade 1 and gradually progressed to grade 3 . Cough since 4 years (on and off) which is productiv

Hi, This is Vijaya Ratna,5th sem medical student.This Elog depicts the patient centered approach to learning. This is an online eLogbook recorded to discuss and comprehend our patient's deidentified health data shared, after taking his/her/guardian's signed informed consent. **This is an ongoing case.I am in the process of updating and editing this Elog as and when required** A 50 year old male resident of  nalgonda,maths lecturer by occupation came to OPD with chief complaints of Abdominal distension since 3 days  Pain abdomen since 3 days Vomitings HISTORY OF PRESENT ILLNESS Patient was apparently asymptomatic 3days back,then developed pain in the upper abdomen gradually progressive associated with abdominal distension with history of vomiting(non bilious,non projectile,non foul smelling,water or content) Since 2 days he's been suffering from SOB even on rest. He has been drinking alcohol and smoking since 20 years occasionally.But from past 15-20 days he's been takin

Hi, This is Vijaya Ratna,5th semester medical student .This Elog depicts the patient centered approach to learning. This is an online eLogbook recorded to discuss and comprehend our patient's deidentified health data shared, after taking his/her/guardian's signed informed consent. A 80 year old male toddy climber by occupation resident of chityal came to casualty with chief complaints of involuntary movements of 1 episode associated with frothing from mouth lasting for 1 min with no regain of consciousness  Giddiness  HISTORY OF PRESENT ILLNESS Patient was apparently asymptomatic till 2 years ago.He had paralysis 2 years ago and 1st episode of seizures with froth from mouth and loss of consciousness.1 year ago he had 2nd episode of seizure with involuntary micturition then he developed giddiness while walking and decreased vision due to this he is not being able to read and also can't differentiate the money notes. Patient was a toddy climber till 8 years ago. But then he c