38 Nandini gandla

Hi, This is G. Nandini a fifth semester medical student. This is an e-LOG depicting patient's de-identified data centered approach for learning medicine. This log has been created after taking consent from patient and his family. Here we discuss about patient's problems with a series of inputs with an aim to solve them.    DOA: 28/07/2022 CHIEF COMPLAINTS: A 49 yr old male resident of cherlapally came to the opd with the chief complaints of pain in the right lower leg since 20 days and fever since a week . HISTORY OF PRESENT ILLNESS: Patient was apparently asymptomatic 2 yrs back  he came for  a general checkup where some blood tests were done , in which they found his creatitine level is increased and is on medication since then .  20 days back he developed swelling in both lower legs which are pitting , insidious in onset and gradually progressive and developed till knee.  He also has SOB since 20 days and pain in only right leg.There is right lower limb cellulitis since 20 d

 Hi, This is G. Nandini a fifth semester medical student. This is an e-LOG depicting patient's de-identified data centered approach for learning medicine. This log has been created after taking consent from patient and his family. Here we discuss about patient's problems with a series of inputs with an aim to solve them.    DOA:18/07/2022 A 55 year old female  agricultural worker by occupation (stopped 2 years ago) came with cheif complaints of yellowish discolouration of eyes and body , Fever and generalized weakness since 20 days .   HISTORY OF PRESENT ILLNESS: Patient was apparently asymptomatic 20 days back and developed fever associated with burning Micturtion and they also noticed yellowish discolouration of eyes and skin and bought her to our hospital . She was diagnosed with jaundice here and advised for admission patients attendents doesn't want to get admitted. They used some herbal medication every Monday by skipping Antihypertensive and anti diabetic medication