2nd internal medicine roll no 154
Posts
52 Year old male iron deficiency
52 Year old male came to Casuality with chief complaints of Fever since 1week associated with Generalised Weakness and Decreased appetite and Vomitings Following food Intake. History of wt loss of 5kg in Last 5 months. History of Back Pain since 1 month. No H/o DM, Htn,Asthma,Epilepsy. Past History Not A K/C/O DM,HTN,Asthma,Epilepsy. No Allergies No Past Surgical History Personal History Diet -Mixed Appeteite- Decreased Bowel And Bladder Movements Regular Addictions Absent Family History No Significant Family History. Vitals Bp 120/90 Pulse82 RR 15cpm GRBS 112 mg/dl General Examination Pallor -Present Icterus - Absent Clubbing - Absent Koilonychia - Spoon Shaped Fingers Lymphadenopathy -Left Supra clavicular Lymphnode Enlarged Systemic Examination CVS S1 S2 Heard RS BAE Present P/A Soft ,Non Tender. Provisional Diagnosis : Anaemia Under Evaluation Left Supraclavicular Lymphnode Investigation Chest xray ecg abno
34 year old male lorry driver with vomiting, hiccups
This is an online e log book to discuss our patient de-identified health data shared after taking his / her / guardians signed informed consent. Here we discuss our individual patients problems through series of inputs from available global online community of experts with an aim to solve those patients clinical problem with collective current best evident based input. This E blog also reflects my patient centered online learning portfolio and your valuable inputs on the comment box is welcome. I have 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 diagnosis and treatment plan. A 34 year old male patient lorry driver by occupation resident of chitiyala came to opd with chief complaints of Vomiting, Hiccups and Cough since 4 days HOPI- Patient was apparently asymptomatic 4 days back t