100 Vasavi

This is an online E logbook to discuss our patient’s de-identified health data shared after taking his/her/guardian’s signed informed consent. Here we discuss our individual patient’s problems through series of inputs from an available global online community of experts to solve those patients clinical problems with collective current best evidence-based inputs. This e-log book also reflects my patient-centered online learning portfolio and your valuable inputs on the comment box are welcome. a 53-year-old male, a Hotel owner and chief by occupation, The patient presented to the hospital with chief complaints of Swelling of both Legs since 10 days Swelling of face since 7 days HISTORY OF PRESENTING ILLNESS   The patient was apparently asymptomatic 10 days ago.In the first week of June he had a binge of alcohol on occasion of local festival. Later he observed abdominal distension, followed by Bilateral Pedal odema which is pitting type extending up to the knee, insidious in gra...

 A 28 yr old male came to the opd with the following cheif complaints Cough since 5 days  Epigastric pain since 3 days HISTORY OF PRESENTING ILLNESS The patient was apparently asymptomatic 5 days back.He developed cough since 5 days which was dry at the begginong and later it became productive. Since 3 days he developed pain in the epigastric region which was insidious in onset and gradually progressive in nature that aggaravated while coughing. Also has on and off episodes of fever. PAST HISTORY N/K/C/O DM, HTN, ASTHMA,TB,EPILEPSY PERSONAL HISTORY  Diet - Mixed Appetite- decreased  Bowel and bladder movements-passing urine regularly but did not pass stool  for 2 days Sleep-adequate Addictions:  consuming alcohol since 10 yrs initially occassionally but from 6 years started consuming daily ( 1 quarter) GENERAL EXAMINATION Patient is conscious coherent cooperative, well oriented to time ,place, person moderatly built and moderately nourished    Pal...

 A 36  year aged male came to the opd in the hypoglycemic state with seizures. Cheif complaints Seizures since 1 week  HISTORY OF PRESENTING ILLNESS Patients was asymptomatic 1.5 yrs back, was diagnosed with diabetes mellitus .  Since 1 week during night, during sleep he was developing seizures .Which would last for a short duration (15 min)and resolve spontaneously .The seizures are clonic seizures with uprolling eye movements and exaggerated body movements. He is  also diagnosed with gynecomastia  N/H/O of frothing , tongue bite PAST HISTORY K/C/O of diabetes .On insulin therapy. 1 year back he had pricking sensation in the feet which was diagnosed to be associated with high dosage of insulin and hypoglycemic drugs. For which there was change in the dosage. N/K/C/O HTN,ASTHMA,TB PERSONAL HISTORY Diet :mixed Appetite :normal Sleep :adequate Bowel and bladder movements :regular VITALS BP:90bpm PULSE RATE:126/64mmHg RESPIRATORY RATE: RBG: 25 mg/dl GENERAL EX...