GENERAL MEDICINE ELOG-10

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



Popular posts from this blog

GENERAL MEDICINE E-LOG 6

 Hello,Iam Harichandanarao 3rd sem 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 76 yr old male came for v/o PRBS TRANSFUSION for the correction of anaemia  HISTORY OF PRESENT ILLNESS: no case of cough,fever,SOB no history of headache,sudden onset of blurring of vision not a k/c/n HTN,DM,TB,epilepsy,asthma HISTORY OF PAST ILLNESS; Patient was apparently asymptamtic 5 yrs back,he felt shortness of breath and went to hospital and diagnosed with ADENOCARCINOMA OF LUNG STAGE 4 BILATERAL LUNG NODULES WITH THYMOMA-S/P THORACOTOMY WITH EXCISION-2019 WITH ANEMIA SECONDARY TO CHEMOTHERAPY and the tumor is removed five yrs ago again from an year another place it reappeared due to metastatis but cannot be removes now and undergoing chemotherapy at nims hospital for every 25 days after the treatment he is coming for blood transfusion DIAGNOSIS metastatic adenocarcinoma of lun
Read more

GEBERAL MEDICINE ELOG-12

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
Read more

GENERAL MEDICINE ELOG-4

Image
Hi,Iam Harichandanarao 3rd sem medical student.Thus is an online elog book to discuss our patients health data after taking his consent.This also reflects patient centred online learning portfolio A 32 yr old female patient,works in shopping mall by occupation came with complaints of severe back pain since 3 months,vomiting,TB since 3 months on medication HISTORY OF PRESENT ILLNESS: patient was asymptomatic before covid vaccine,in november,after that developed back pain and on medication,but the pain progressive increased from march dragging type of pain.vomiting present since may with in 30min after intake of food which contains food particles diffuculty during swallowing,non bilious,no history of burning micturition PAST HISTORY: Diagnosed with left renal abscess and was managed conservatively  and TB since 3 months and on medication[ATT MARCH] No history of any surgery   PERSONAL HISTORY:  No diabetes,no hypertension,no asthma no known allergies non vegetarian diet   FAMILY HISTORY
Read more