57 Vinila Bhavani Kanday

 A 45 yrs old male patient presented to the casualty with chief complains of altered sensorium since 7 days  HISTORY OF PRESENT ILLNESS      Patient was apparently asymptomatic 10 yrs back  then he was diagnosed with Diabetes as a part of general check up and he is on medication since then . 6 yrs back he developed ulcerations on left feet little finger which became infectious and gangrenous and finally little finger was amputated . 8 months back he developed similar lesions on his left feet so 4 th toe was amputated . 3 months back following a thorn prick patient developed diabetic foot ulcer following which he had developed plantar abscess , necrotising fascitis and anemia for which he had undergone debriment and split skin graft under regional anaesthesia. Over a month back  he developed  an episode of GTCS with CGS of E3V1M2 and was diagnosed to have hyponatremic seizures with Na+ levels of 117meq/L and he had undergone Na+ correction. HISTORY...

 

 Hello , this is Vinila Bhavani roll no 57, 3rd sem Student.    This assignment has been given to me to check the ability to connect and capture patient centered data and to engage in learning with peers.     This link has been given to us : http://medicinedepartment.blogspot.com/2021/07/2019-batch-medicine-department-online.html?m=1 Question 1  I have gone through the assignment of my frnd Mahendra roll no 56 -My friend has mentioned all the Symptoms , diagnosis and  chief complaints of patient along with his treatment details . -He has mentioned all the insights in detail  2)He discussed cases of interns that were given to him  - He didn't get a chance to make a blog . 3) He discussed clinical case of acute kidney injury and chronic kidney disease with uraemic encephalopathy .. He mentioned the Diagnosis as hypertensive nephropathy and the reason for this was glomerular ischaemia and glomerular hyperfiltration and the patient in this case w...

 65 yr old female patient , who is a daily wage labourer came to casualty in altered state  with complaints of : Episodes of slurring of speech since 1 day  Profuse sweating that resolved on having food. Patient was asymptomatic till yesterday 4 pm . patient was brought to casualty in uncounsious state   HISTORY OF PRESENT ILLNESS : Patient has no involuntary movements . Patient has history of sweating and snoring . HISTORY OF PAST ILLNESS : In 2014 patient was discovered with GIST - gastrointestinal stromal tumour on histopathological examination.  In 2016 patient was found to be Mets+ve and was treated with anticancer drugs . In 2019 he was again found to have Mets 16mm in liver . Eye movements1, verbal1, motor4  PERSONAL HISTORY : Diet - mixed  Apetite - normal Bowel movements - regular  Micturition - normal Patient use to drink alcohol occasionally . THERE IS NO RELEVANT FAMILY HISTORY . Patient was having diabetes . VITALS   Pallor -...

 65 yr old female patient , who is a daily wage labourer came to casualty in altered state  with complaints of : Episodes of slurring of speech since 1 day  Profuse sweating that resolved on having food. Patient was asymptomatic till yesterday 4 pm . patient was brought to casualty in uncounsious state   HISTORY OF PRESENT ILLNESS : Patient has no involuntary movements . Patient has history of sweating and snoring . HISTORY OF PAST ILLNESS : In 2014 patient was discovered with GIST - gastrointestinal stromal tumour on histopathological examination.  In 2016 patient was found to be Mets+ve and was treated with anticancer drugs . In 2019 he was again found to have Mets 16mm in liver . Eye movements1, verbal1, motor4  PERSONAL HISTORY : Diet - mixed  Apetite - normal Bowel movements - regular  Micturition - normal Patient use to drink alcohol occasionally . THERE IS NO RELEVANT FAMILY HISTORY . Patient was having diabetes . VITALS  Pallor - yes...

   48 yr old male patient, resident of Chityala came to OPD with chief complaints of :    Oliguria since 3 days   Altered sensorium since 5 days Fever since 10days  HISTORY OF PRESENT ILLNESS :      Patient was admitted in hospital with decreased urinary output for which Foley catheter was placed for draining urine . He was asymptomatic an year back . He was diagnosed with prostatomegaly with right renal calculi.    Patient had bilateral lower limb weakness associated with oliguria .  PAST HISTORY : H/o HIV since 10yrs  No  H/O of diabetes , hypertension , epilepsy.    PERSONAL HISTORY:      SLEEP - adequate       DIET - mixed       APPETITE - normal   He use to drink alcohol of 250 ml occasionally and is a regular smoker .     THERE IS No RELEVANT FAMILY H/O .  general examination :     Patient is conscious b...