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E log August - 2

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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 16 year old female patients with loose motions . CHIEF COMPLAINTS  A 16 year old female  came to the OPD with chief complaints of loose motions since 3 days. History of 2 episodes of fever  .1 St episode on Thursday night and 2 nd episode on Friday morning. Which relieved with medication HISTORY OF PRESENT ILLNESS  The patient was apparently normal 3 days back ,and consumed outside food ( Manchuria) on Thursday afternoon (2pm) and has loose motions since 3 days. The motions are bilious in nature and no blood in the stools. The patient has 2 episodes of fever. 1st episode on Thursday night and 2 nd episode on Friday morning. N...

Gen Med E-log August - 1

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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 25 YR OLD WITH ALCOHOLIC LIVER DISEASE Chief complaints: A 25 yr old male hailing from Yadagirigutta, slab welder by occupation, came with the chief complaints of : • Fever, since 8 days • Stomach tightness and bloating since 8 days ( especially after meals)  • Nausea and vomitings since 8 days • SOB since 8 days • Anxiety • Thigh pains HOPI: • Apparently pt. was asymptomatic 6 mnths back.  • He developed fever, cold and cough which persisted for a week, for which he took medication in a local hospital for Jaundice.  • Medications worked and his symptoms got relieved, immediately after which he started taking alcohol.  • Ag...

59 K. Rithika Vasantha

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E-LOG GENERAL MEDICINE Hi, This is Rithika, a third 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 45 YR OLD WOMAN WITH CKD ON MHD Chief complaints:                                A 45 yr old female, P2L2, hailing from Velimimedu, agricultural worker by occupation, came with the  hief complaints of : • SOB at rest, since 2 mnths • Pedal edema, since 2 mnths • Nausea, since 2 mnths • Blurring of vision • Increased thirst • Loss of appetite HOPI: • Apparently patient was asymptomatic 2 months back.  • Later, she developed SOB while doing small, regular household chores, which later got progressed to SOB at rest.  • Simultaneously, she also de...