GENERAL MEDICINE E-LOG:1

HI,Iam Harichandana of 6thsem medical student.This is an online elog book to discuss our patients health data after taking his consent.This also reflects patient centred online learning portfolio A 38 year old patient came with cheif complaints of left side chest pain since 1 week HOPI: patient was apparently asymptomatic 7 days back then he developed left sided chest pain,intermittent,sharp pricking type, aggravated on lifting,working relived on medication Negative history No history of fever,nausea,vomiting,no history of burning micturition PAST HISTORY: GASTRIC ACIDITY since 10years PERSONAL HISTORY: diet-mixed Appetite -normal Sleep-adequate Bowel nd bladder normal No additions FAMILY HISTORY: no relevant family history  GENERAL EXAMINATION: Patient was conscious coherent well oriented to time place and person No pallor,icterus,clubbing,cyanosis, lymphadenopathy, Temperature-afebrile Pulse-70bpm Bp-120/70

HI,Iam Harichandana of 6thsem medical student.This is an online elog book to discuss our patients health data after taking his consent.This also reflects patient centred online learning portfolio A 67 yr old patient came with cheif complaints of abdominal tightness within 10-15mins after eating since 4 days HOPI  Patient was apparently asymptomatic 4 days back then he developed abdominal tightness associated with shortness of breath relived by itself with 3-4 hrs on rest,no aggravating factors Non pitting type of pedal edema is present Subcutaneos swelling in the paraumbilical region No history of constipation,belching,burning micturition fever PERSONAL HISTORY: diet-mixed Appetite -normal Sleep-adequate Bowel nd bladder normal No additions FAMILY HISTORY: no relevant family history  GENERAL EXAMINATION: Patient was conscious coherent well oriented to time place and person No pallor,icterus,clubbing,cyanosis, lymphadenopathy, Temperature-afebrile Pulse-70bpm

HI,Iam Harichandana of 6thsem medical student.This is an online elog book to discuss our patients health data after taking his consent.This also reflects patient centred online learning portfolio A 33 old female patient came with the cheif complaints of Headache since 2 days HOPI patient was apparently asymptomatic 5 yrs back the she developed cervical pain which was radiatiing to occipital region of head,the pain was,insidious in onset,continues sharp,radiation to the right arm,aggravated on ,household chores,lifting weights,b nding,travelling,relived on medication Pain is associated with tingling nd numbness Photophobia positive Chonophobia postive K/C/O Hypothyroidism since 6 years On thyronorm 75mcg NEGATIVE HISTORY no history of dizziness,nausea,vomiting,trauma,fever PAST HISTORY: mild canal stenosis detected in MRI No history of previous surgeries N/K/C/O HTN,DM,TB,asthma,epilepsy TREATMENT: tab. naproxen 250mg PERSONAL HISTORY: diet-mixed Appetite -normal Sleep-adequate Bowel nd

HI,Iam Harichandana of 6thsem medical student.This is an online elog book to discuss our patients health data after taking his consent.This also reflects patient centred online learning portfolio A 50 yr old female patient came with cheif complaints of fever,loss of appetite,burning sensation since 3 days HOPI Patient was apparently asymptomatic 3 days back then she developed fever which was intermittent, low grade fever,not assosiated with chills nd rigor,no diurnal variation which was relieved on medication, assosiated with reduced apetite Chest burning sensation associated with belching regurgitation of food aggravated after food intake Nausea is present No history of chest pain,sob Past history: Similar complaints present two years back  PERSONAL HISTORY: diet-mixed Appetite -reduced Sleep-adequate Bowel nd bladder normal No additions FAMILY HISTORY: no relevant family history  GENERAL EXAMINATION: Patient was conscious coherent well oriented to time place and person No pallor,icte

80 year old female with pain abdomen since 2 months HOPI:patient was apparently asymptomatic two months ago the she developed pain abdomen since 2 months which is intermittent,sharp,relived on medication In supine position a mass is felt in the epigastric region assosiated with epigastric tenderness,nausea is present Burning micturition is present since two months NEGATIVE HISTORY: No history of fever,loose stools,vomitings PAST HISTORY: Mass Is felt while urinating and defecating(uterine hernia) No history of previous surgeries PERSONAL HISTORY: diet-mixed Appetite -reduced Sleep-adequate Bowel nd bladder normal No additions FAMILY HISTORY: no relevant family history  GENERAL EXAMINATION: Patient was conscious coherent well oriented to time place and person No pallor,icterus,clubbing,cyanosis, lymphadenopathy, Temperature-afebrile Pulse-70beats /min

A 40 yr old male patient came with cheif complaints of lower back pain since 3 days HOPI: Patient was apparently asymptomatic 15 days back then he got snake(Russell's viper) bite on left ring finger while working in the field went to the local hospital and managed Then after 3 days  developed lower back pain which is continues, insidious in onset sharp type,non radiating, aggravated on lieing in supine position relieved on medication assosiated with low grade fever,nausea,abdominal bloating No history of burning micturition,increased or decreased output PAST HISTORY : No complaints of chets pain,cough,cold,loose stools, vomiting,Not a known case of diabetes,asthma,tb,epilepsy PERSONAL HISTORY: diet-mixed Appetite -reduced Sleep-adequate Bowel nd bladder normal No additions FAMILY HISTORY : no relevant family history  GENERAL EXAMINATION : Patient was conscious coherent well oriented to time place and person No pallor,icterus,clubbing,cyanosis, lymphadenopathy, Temperature-afebrile