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Showing posts from July, 2022

A 49 year old patient with ckd secondary to diabetes

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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 ...

A 55 year old female with yellowish discoloration of eyes

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 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 di...