General Medicine

December 27 th Case scenario....... Hi, I am s.supriya  , 3rd bds   student.This is an online elog book to discuss our patients health data after taking her consent.This also reflects my patient centered online learning portfolio. CASE SHEET:A 55 year old male , occupation cattle worker ,came from gowraram to general medicine opd Chief complaints: Difficulty in lifting left upper limb & loss of speech no h/o mouth angle deviation HISTORY OF PRESENT ILLNESS: Patient was apparently Asymptomatic , But 10 days back difficulty in lifting left upper limb & loss of speech,then treatment at nalgonda hospital gradually recovered.  Duration: 12 hours Onset: sudden Time of occurrence: work Flaccid type of paralysis  Weakness: upper limb  Proximal: present Distal: present Lower limb weakness: absent Weakness of Trunk : absent  Weakness of Neck : absent H/o Sensory loss : Touch sensation:present Pain sensation: present Timbling sensation: present H/o loss of consciousness: present Vomitin

Hello, I am supriya from  , 3rd bds  student. This is an online elog book to discuss our patients health data after taking his/her consent. This also reflects my patient centered online learning portfolio. A 60yr old female came with CHIEF COMPLAINTS: - fever since 10 days -productive cough since 10 days -vomitings since 10days CHIEF COMPLAINTS: - fever since 10 days -productive cough since 10 days -vomitings since 10days HOPI: Patient was aparently asymptomatic 10 days back.She then developed fever low grade,intermittent ,not associated with chills and rigors ,relieved on medications C/o cough with expectoration since 10 days ,whitish mucoid sputum not blood tinged C/o nausea and vomitings since 10days 2- 3 episodes per day which is watery ,non projectile ,non blood tinged with food particles as contents C/o constipation and decreased appetite since 10 days C/o pain in the back while coughing  No H/O Burning micturition,loose stools,pain abdomen No h/o pedal edema,chest pain, facia

Gm case 3   Case scenario..... Hi, this is S.Supriya , IIIrd BDS. This is an online eblog book discuss our patients health data after taking her consent.This also reflects my patient centered online learning portfolio.  CASE SHEET: 70 years old female joined with slurring of speech since yesterday  Generalised body pain since 1 day  Difficult in walking since 1 day  Patient was apparently asymptomatic 4 years back then delveoped  slurring of speech and diminish of vision and altered and came to hospital and MRI brain was done  History of present illness :  Patient with slurring of speech and generalised body pains since 1 day and difficult in walking since 1 day  No history of memory loss,  seizure  No history of  fever , vomiting  No history of smell, deviation of mouth  History of past illness :  No  hearing loss , no deviation of tongue  No history of excessive sweating  No deviation of tongue  No history of excessive sweating  No history Bowel and bladder movement  Drug history : 

 1  2023  Gm case 2  Case scenario..... Hi, this is S.Supriya , IIIrd BDS. This is an online eblog book discuss our patients health data after taking her consent.This also reflects my patient centered online learning portfolio.  CASE SHEET: 75 years old female suffering from fever   Chief complaint:fever from 3 days (intermittent fever ) Cough: suddenly (sputum :thick ,normal colour ) Cold :no  History of present illness:  She is suffering from fever last 3days  Less urine output during fever and abdominal pain ( at middle of abdominal) Vomiting: food particles  History of past illness :  He is suffering from asthma since 10 years and use of asthma machine  Not a known case of hypertension,diabetics,TB epilepsy  Personal history:  Appetite: less appetite  Diet : mixed  Sleep : no  Bowel and bladder movement:  irregular Micturation : less  Urine : pale yellow  Allergies : nill  Family history:  Not significant General examination:  Person is normal  Pallor: no    Cyanosis : no  Clubbing

Case scenario Hi,this is S.Supriya ,3rd BDS. This is an online eblog book discuss our patient health data after taking his consent .this also reflects my patient centered online learning portfolio                                  CASE  HISTORY Patient details : A 74 years old male resident of Devarakonda with swelling of stomach  Chief complaint :  Abdominal distension , Shortness of breath  Decrease in urine out put  History of present illness:  Decrease in urine out put since 2 days  Pedal edema   Loss of appetite 4 days No history of fever  No nausea  No vomiting  History of past illness :  No Diabetes  No asthma  No TB   No hypertension  Personal history : Appetite: loss of appetite Diet : vegetarian since 3years Bowel and bladder movement : irregular  Micturation : irregular  Allergic: nill  Sleep adequate Family history :  No significant compliance  General examination :  Pallor: slightly present  Cynasis :no  Clubbing: no Lymphedenopathy : no  Edema: no  Vitals :  Temprature: 10