18 yr old female, resident of narketpally, complains of 3 episodes of seizures since yesterday night Pt was apparently asymptomatic till last night, at 12 am, in her sleep, she had an episode of gtcs with tongue bite, dribbling of saliva, post ictal confusion and uprolling of eyeballs and gained consiousness after 10min Similar episodes took place at 4am and 11.30am No involuntary micturation or defecation C/o headache in frontal region, non radiating C/o nausea since morning No fever, cough, cold, chest pain, orthopnea, pnd, burning micturation, loose stools, vomitings K/c/o seizures since 1yr, used medication for 1 month, and stopped after that No palor, icterus, cyanosis, clubbing, lymphadenopathy, edema Vitals: Pr 108 bpm Bp 110/70 mmhg Rr 14 cpm Spo2 99% Grbs 92 mg/dl Cvs: s1,s2 normal Rs: BAE present P/A: soft, non tender CNS: Pt is conscious, Speech is normal No meningeal signs Normal cranial nerve examination, motor system, sensory system Gcs: E4,V5,M6 Reflexes: R
Posts
Internship assessment Dec 2022 to Feb 2023
Unit duty: 1.I have drawn venous blood samples 2. Collected their reports from the labs, 3. Got culture swabs and bottles from the labs, 4. Collected culture reports from the lab, 5.Updated these in our whatsapp groups, investigation charts, fever charts, repeats Got ECGs, Xrays, USGs, 2D echos and their viedeos of all our patients 6.Monitored vitals of all our patients 7. Typed and printed discharge summaries of all our patients In the OP: 1. I have learnt how to take brief histories of patients in a limited time 2. Did systemic examinations of various patients according to their compalints 3. Learnt as to what investigations have to be sent for what complaints. 4. Learnt how to prescribe basic treatment for some patients These are some blogs i have made during my unit duty: https://prasunakreddy.blogspot.com/2023/02/a-50-yr-old-male-carpenter-resident-of.html?m=1 https://prasunakreddy.blogspot.com/2023/02/a-37-yr-old-male-lorry-driver-by.html?m=1 This is a case of pyrexia seconda
NOTE: 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 A SERIES OF INPUTS FROM THE AVAILABLE GLOBAL ONLINE COMMUNITY OF EXPERTS INTENDING TO SOLVE THOSE CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE-BASED INPUT A 50 YR OLD MALE, CARPENTER, RESIDENT OF VELIMINEDU, COMPLAINS OF WEAKNESS IN RT UPPER AND LOWER LIMBS SINCE 2 DAYS PT WAS APPARENTLY ASYMPTOMATIC 2 DAYS AGO THEN AT NIGHT 11PM, HE HAD TREMORS AND WEAKNESS OF RT UPPER LIMB, WENT TO LOCAL HOSPITAL RMP, THERE BP WAS FOUND TO BE 180/140 MMHG AND WAS MANAGED WITH CINOD 10MG AGAIN AT 2 AM, COMPLAINED OF WEAKNESS OF LEFT LOWER LIMB HEADACHE IN LEFT PARIETAL REGION, PRICKING TYPE, SINCE 2 DAYS VOMITINGS, 3 EPISODES, 2 DAYS AGO NAUSEA + SOB ON EXERTION SINCE 1 MONTH, ORTHOPNEA + NO C/O CHEST PAIN, SWEATING, COUGH, GIDDINESS, BURNING MICTURATION, LOOSE STOOLS K/
NOTE: 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 A SERIES OF INPUTS FROM THE AVAILABLE GLOBAL ONLINE COMMUNITY OF EXPERTS INTENDING TO SOLVE THOSE CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE-BASED INPUT. 64 YR OLD FEMALE, HOUSEWIFE, RESIDENT OF NARKETPALLY, COMPLAINS OF GIDDINESS SINCE 2 HRS SHE WAS APPARENTLY ASYMPTOMATIC 1 MONTH AGO, THEN HAD BURNING SENSATION ALL OVER 4 LIMBS FOR WHICH SHE WAS TAKEN TO A PRIVATE HOSPITAL IN NALGONDA AND WAS DIAGNOSED WITH PARASTHESIA 6 DAYS AGO, SHE COMPLAINED OF EPIGASTRIC PAIN AND BURNING SENSATION, BURNING MICTURATION FOR WHICH SHE WAS MANAGED CONSERVATIVELY AND DISCHARGED IN THE MORNING WHILE COMING BACK HOME, AT 4 PM, SHE LOST CONSCIOUSNESS AND INVOLUNTARILY PASSED URINE NO UPROLLING OF EYES, DRIBBLING OF SALIVA, TONGUE BITE POST ICTAL CONFUSION + GAINED CONSIOU
NOTE: 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 A SERIES OF INPUTS FROM THE AVAILABLE GLOBAL ONLINE COMMUNITY OF EXPERTS INTENDING TO SOLVE THOSE CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE-BASED INPUT. A 37 YR OLD MALE, LORRY DRIVER BY OCCUPATION, RESIDENT OF CHITYALA COMPLAINING OF FEVER SINCE 10 DAYS AND PAIN IN THE EPIGASTRIUM SINCE 2 HRS PT WAS APPARENTLY ASYMPTOMATIC UNTIL 10 DAYS BACK AND THEN HAD FEVER WITH CHILLS AND RIGORS, SUDDEN ONSET, INTERMITTENT FEVER, AGGREVATED AT NIGHTS, AND RELIEVED AFTER TAKING DOLO, ACCOMPANIED BY WHITE ORAL MUCOSAL PATCH, BODY PAINS, SOB PT COMPLAINS OF EPIGASTRIC PAIN WITH BURNING SENSATION SINCE 2 HRS, SUDDEN ONSET, NON RADIATING NO C/O COUGH, CHEST PAIN, COLD, GIDDINESS, HEADACHE, BURNING MICTURATION, LOOSE STOOLS, NAUSEA, VOMITINGS K/C/O DM TYPE II SINCE 5
A 75YR OLD MALE, CARPENTER CAME TO THE CASUALITY WITH C/O BREATHLESSNESS SINCE 3 DAYS AND BOTH LOWER LIMB SWELLING SINCE 2 MONTHS PATIENT WAS APPARENTLY ASYMPTOMATIC 15 YRS BACK THEN HAD SOB WORSENED OVER DAYS, ATTENDED TO A MEDICAL FACILITY AND DIAGNOSED WITH ? HEART PROBLEM AND HYPERTENSION SINCE 5 YEARS, PATIENT HAD EASY FATIGUABILITY, SOB ON EXERTION WHICH INTERFERES WITH HIS WORK SINCE THEN HE STOPPED WORKING AND STAYS AT HOME. SINCE 1 MONTH, PATIENT HAD SOB AND COUGH ON EXERTION WHICH HAD WORSENED IN LAST 3 TO 4 DAYS TO SOB AT REST. NO H/O FEVER, NO CHEST PAIN, NO PALPITATIONS, ADMITTED ONE MONTH BACK FOR HEART FAILURE AND AKI ON CKD K/C/O HTN SINCE 15 YRS, CURRENTLY ON T. AMLONG 10 MG BD ? CAD +, EF 40% K/C/O CKD SINCE 1 TO 2 YRS ON CONSERVATIVE MANAGEMENT K/C/O ? COPD ON ASTHALIN INHALER SINCE 1 YR PERSONAL H/O: SLEEP IS ADEQUATE APPETITE IS NORMAL BOWEL AND BLADDER MOVEMENTS ARE REGULAR NO KNOWN ALLERGIES SMOKES 1 PACK BEEDI SINCE 50 YRS FAMILY H/O: NO SIGNIFICANT FAMILY
NOTE: 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 A SERIES OF INPUTS FROM THE AVAILABLE GLOBAL ONLINE COMMUNITY OF EXPERTS INTENDING TO SOLVE THOSE CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE-BASED INPUT. A 54 yr old male, govt service employee by occupation, resident of west bengal, came for regular checkup Patient was apparently asymptomatic until 25yrs ago them he had symptoms of headache, giddiness, for which he went to a doctor and was diagnosed with hypertension, once medications were started, bp came under control In 2000, he stopped medication for 15-20 days again he c/o lightheadedness, neck stiffness, and his tongue was rolling backward (tongue spasm). After this happened 2-3 times, he was hospitalized for 1 day. 16yrs ago, at the age of 38, he had wt loss and on general checkup, found out his