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GENERAL MEDICINE ASSESSMENT

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I am P. Sri Chandana Roll. No: 98 Below is an E-log describing patient centered data approach and discussion regarding patient de- identified health data                                            this e log is made under the guidance of Dr madhumita (intern) CASE HISTORY: 64 yr old male patient came to casuality  CHIEF COMPLAINTS: drowsiness  Confusion in the afternoon after he came from work  HISTORY OF PRESENT ILLNESS: drowsiness  HISTORY OF PAST ILLNESS: no history of fall  No history of seizure like activity,LOC No history  of focal signs of weakness  History of similar complaints in the past  One episode 6 months ago  One episode 1yr back  N/k/c diabetes mellitus, hypertension, tb ,asthma ,epilepsy  ,CAD PERSONAL HISTORY: Diet- mixed Appetite- normal Sleep- adequate  Bowel and bladder movements- regular Addictions: alcoholic since 7 yrs, consumes 180ml per day  GENERAL EXAMINATION: Patient is drowsy Vitals- PR=96bpm,  RR= 16cpm Temp= 96F BP= 140/90  GRBS= 116 mg/dl. No signs of p

GENERAL MEDICINE ASSESSMENT

  I am  P. Sri Chandana, MBBS 3rd semester, Roll. No: 98. QUESTION 1: https://99vaishnavireddy.blogspot.com/2021/07/general-medicine-assessment.html • The case done by my closest number was           PULMONOLOGY. REVIEW: • All the chief complaints of the patient, History  and Investigations of the patient are thoroughly  explained. • The Diagnosis of the patient was very well explained. • The above elog was relevant in respective to the case with all the fine details.   QUESTION 2: https://98chandanapadi.blogspot.com/2021/07/i-am-p.html QUESTION 3: CASE 1: https://laharikantoju.blogspot.com/2021/07/58-year-old-male-patient-elog-lahari.html?m=1   Acute kidney injury( AKI)  2° to UTI, associated with Denovo -  Patient is a known case of diabetes mellitus and hypertension. Patient had sudden onset of pain in abdomen  By burning micturation with high fever : grade associated with chills and rigor  Decrease urine output associated with SOB (grade -4) With no H/O chest pain, palpitations, p

GENERAL MEDICINE ASSESSMENT

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  I am  P. Sri Chandana, MBBS 3rd semester, Roll. No: 98.  QUESTION 1:           CASE 1: NEUROLOGY              https://143vibhahegde.blogspot.com/2021/05/wernickes-encephalopathy.html                       A 40 year old male with cheif complaints of irrelevant talking and decreased food intake.       - HISTORY:             • 2 - 3 episodes of seizures, 1 year ago and                4 months ago.             • Short term memory loss since 9 days.             • Type 2 diabetes since 2 years.             • No history of hypertension, CAD, TB,                Asthma.              • Alcoholic since 12 years, Smoker.      -INVESTIGATIONS:             • Chest X-Ray             • ECG report             • Blood picture             • Serum electrolytes              • LFT, RFT             • ABG             • 2D echo             • Ultrasound Abdomen             • Psychiatry Reference       -DIAGNOSIS:              1. Wernicke's encephalopathy secondary                   to chronic alcohol depe