GENERAL MEDICINE

Case in brief A 48yr old female,who is a daily wage worker by occupation came to opd with, Chief complaints:- Facial puffiness Weakness SOB while walking  History of presenting illness Patient was apparently aysmptomatic 1week back ,then developed facial puffiness and weakness History of past illness  She had undergone bilateral salpingo-oophorectomy surgery Not a k/c/o diabetes/hypertension/asthma/CAD /TB  Treatment history She was not on any medication  Family history There is no significant family history  Personal history  • Mixed diet  • Normal appetite • Regular bowels • No known allergies • Adequate sleep • Habits- occasional alcoholic - 500ml  Daily routine She generally wakes up at 6:00am and have curd rice for breakfast and goes for work at 9:00am and at 2:00 pm she will have lunch(rice and vegetable curry) and get backs home by 6:30 and the  she will have her dinner by 9:00 pm and goes to sleep.  GENERAL EXAMINATION  On Examination, •  Patient is conscious,coherent,co - oper

SRINAINI  Roll no:- 33 5th semester  This is online E log book 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 available global online community of experts with an aim to solve those patients clinical problems with collective current best evidence based inputs.This e-log also reflects patients centered learning portfolio. Cheif    complaint A 64 year old male patient came to medical OPD with chief complaints of pain in right loin since 1 month and vomiting since 1 month and burning micturition Since 1 month . History of presentings illness Patient was apparently asymptomatic 10 years back and then developed pain in the right loin for which he was diagnosed to have kidney stones and operated for it . Then 3 years later again he have experienced Bilateral loin pain and diagnosed with Bilateral kidney stones and then underwent for surgery for k