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27 year old female with chief complaints of generalised weakness and headache

Hi, I am Gaddam shreya of 3rd semester .This is an online E logbook to discuss our patient’s de-identified health data shared after taking his/her/guardian’s consent. This also reflects our patient centered online learning portfolio. The patient’s consent was taken verbally prior to history taking and examination of her condition. A 27 year old female student came to OPD with the cheif complaints of generalised weakness since 1 month, headache since 1 month. HISTORY OF PRESENT ILLNESS - Patient was apparently asymptomatic 1 month ago. Then she developed generalised weakness. History of weight loss, decreased food intake, increased menstrual bleeding and cycles are regular. Headache since 1 month which is insidious in onset, gradually progressive, pain is localised to frontal region especially on the left side, non radiating, no aggravating factors, headache relieved on medication. Recurrence of headache is observed. PAST HISTORY Not a known case of diabetes, hypertension,asthma,TB,CAD,
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50 year old male with complaints of shortness of breath and vomiting

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Hi, I am Gaddam shreya of 3rd semester .This is an online E logbook to discuss our patient’s de-identified health data shared after taking his/her/guardian’s consent. This also reflects our patient centered online learning portfolio. The patient’s consent was taken verbally prior to history taking and examination of her condition. A 50year old male, labourer by occupation came to OPD with chief complaints of shortness of breath since 6days and vomiting since 4 days.  HISTORY OF PRESENT ILLNESS- Patient was asymptomatic 1 year back. Then he Diagnosed with chronic kidney disease he is on conservative treatment. SOB is insidious in onset, not present during rest and is more prevalent during night (PND). SOB is generally experienced after walking a short distance.The patient also complained that the breathlessness is increased by lying down suggesting orthopnea. Vomiting is present since 6 days immediately after intake of food No history of fever PAST HISTORY  The patient was known to be h
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40 year old male with chief complaint of decreased urine output since 8 days

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Hi,I am G.Shreya of 3rd semester .This is an online E logbook to discuss our patient’s de-identified health data shared after taking his/her/guardian’s consent. This also reflects our patient centered online learning portfolio. The patient’s consent was taken verbally prior to history taking and examination of her condition. 40 year old male patient who is an advocate came to general medicine opd with cheif complaints of decreased urine output since 8 days. HISTORY OF PRESENT ILLNESS Patient was apparently asymptomatic 5years back then developed decreased urine output since 8 days and underwent dialysis at Hyderabad.He had Renal tubular acidosis and right hip joint fracture HISTORY OF PAST ILLNESS  Chronic kidney disease on maintenance heamodialysis since 11 years,hypertension since 5 years . No history epilepsy,TB,asthma ,diabetes,CAD. Surgical history-right hip joint surgery 10 days back. FAMILY HISTORY - no relevant family history PERSONAL HISTORY Diet- mixed Appetite - normal Bowel
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General medicine case discussion

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Hi, I am Gaddam shreya of 3rd semester .This is an online E logbook to discuss our patient’s de-identified health data shared after taking his/her/guardian’s consent. This also reflects our patient centered online learning portfolio. The patient’s consent was taken verbally prior to history taking and examination of her condition. A 60 year old female came to general medicine opd with chief complaints of short of breath since 2 years.  HISTORY OF PRESENT ILLNESS- Patient was apparently asymptomatic 3 days back. Later she developed shortness of breath  which is insidious in onset even when she is on home oxygenation  with nasal prongs 5 lit/ min since 2 years. SOB associated with cough along with mucus and wheeze. No orthopnea, PND . No chest pain, chest tightness,no fever. PAST HISTORY - Patient got infected with tuberculosis 30 years back. 2years ago patient developed shortness of breath with seasonal variation. Known case of hypertension since 2 years. 18 months ago she consulted psy
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60 year male with chief complaints of fever and shortness of breath

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              27th December,2022 Hi, I am Gaddam shreya of 3rd semester .This is an online E logbook to discuss our patient’s de-identified health data shared after taking his/her/guardian’s consent. This also reflects our patient centered online learning portfolio. The patient’s consent was taken verbally prior to history taking and examination of her condition. A 60 year old male patient who was farmer by occupation came to general medicine opd with chief complaints of shortness of breath since 2 months , fever since 20 days.  HISTORY OF PRESENT ILLNESS- Patient was apparently asymptomatic 2 months. Then he developed shortness of breath which is insidious in onset. SOB is not associated with wheeze, orthopnea, PND. 20 days back he developed fever which is low grade associated with chills and evening rise of temperature is observed. No cough, hemoptysis, chest pain,chest tightness. PAST HISTORY - Not a known case of hypertension, DM. No history of epilepsy,syphilis, CAD, asthma,TB. FA
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42 year old female came to general medicine opd with chief complaints of pedal edema

Hi, I am Gaddam shreya of 3rd semester .This is an online E logbook to discuss our patient’s de-identified health data shared after taking his/her/guardian’s consent. This also reflects our patient centered online learning portfolio. The patient’s consent was taken verbally prior to history taking and examination of her condition. A 42 year old female patient who is housewife and does household chores came  to general medicine opd with chief complaints of pedal edema. HISTORY OF PRESENT ILLNESS Patient was apparently asymptomatic one month back. Then she noticed pedal edema, vomiting and visited local hospital and serum creatinine level observed is 4.5mg/dl. 15 days back she went to local hospital again as the symptoms are not reduced. Then she was referred to hospital in  Hyderabad.There they observed serum creatinine level raised to 14.4mg/dl, then she was suggested to start dialysis.  One sitting of dialysis done on 14/12/22. On 15/12/22  AV fistula surgery for dialysis is done. The
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A 55 year female patient came to opd with chief complaints of generalised edema and decreased urine output

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Hi, I am Gaddam shreya of 3rd semester .This is an online E logbook to discuss our patient’s de-identified health data shared after taking his/her/guardian’s consent. This also reflects our patient centered online learning portfolio. The patient’s consent was taken verbally prior to history taking and examination of her condition.  55 year old female patient who is housewife and does household chores came to general medicine opd with chief complaints of generalised pedal edema and decreased urine output. HISTORY OF PRESENT ILLNESS Patient was apparently asymptomatic 2 years ago. Then she noticed blurred vision in both eyes. She consulted a local doctor and he referred to other doctor in Hyderabad. There she was diagnosed with diabetic retinopathy and underwent a surgery for right eye and improved her vision and was told that her left eye vision can't be improved by surgery. And 3 months back she developed bilateral pitting type of pedal edema which is gradually progressed to presen
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