59 K. Rithika Vasantha

E-LOG GENERAL MEDICINE Hi, This is Rithika, 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 CASE SCENARIO  This is a case of 24 year old primi , homemaker presented to Casuality with the chief complaints of  1) Suprapubic pain 4 days back 2)Fever since 4 days  3) Vomitings since 2 days  ★ HOPI The patient is apparently asymptotic 4 days back. She developed suprapubic pain which lasted for one day for which she sought for consultation at a local hospital and was diagnosed to be having dengue fever fever which is of high grade, intermittent associated with chills and rigors relieving on medication  Vomitings of 2episodes/day immediately after consumption of food containing food particles, non bilious,non projectile, non foul smelling

E-LOG GENERAL MEDICINE Hi, This is Rithika, 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 A 55 YR OLD FEMALE WITH CRF C hief complaints : I tching since 3 mnths Back aches, leg aches, pedal edema since 6 mnths even after medication Past history : HTN since 15 yrs - is o n medication Personal history: Lack of sleep and appetite Mixed diet Bowel and bladder habits normal Toddy drinker - 1 glass/day for 30 yrs Family history :     Nil significant General examination : P allor - present No icterus, cyanosis, clubbing, lymphadenopathy, oedema and malnutrition.  Vitals : Te mp : 99°F PR : 82/min RR : 18/min BP : 160/100 mmHg SPO2 : 98% Systemic examination: CVS: S1, S2 heard No thrills and murmurs heard RS: No dyspnoea, whe