Ballal shruthi

  A 36 YEAR OLD FEMALE WITH DENGUE NS1 ANTIGEN POSITIVE AND IGG POSITIVE , VIRAL HEPATITIS Unit 4 admission :  A 36 year old female house wife came to the hospital with complaints of  Fever since 5 days Abdominal pain since 5 days  Nausea since 5 days   patient was apparently asymptomatic 5 days back. Then she complained of fever which is high grade , continuous ; not associated with chills and rigors . Relieved with medication . No complaints of cold and cough . patient complaints of generalised weakness . Patient complaints of nausea, vomiting 2- 3 episodes per day associated with food particles , non bilious , non blood tinged.  Patient complaints of abdominal pain in the umbilical region  , which is squeezing type and relieved after vomiting . No complaints of loose stools or constipation . No c/o pedal edema, Facial puffiness . No c/o burning micturition . No c/o chest pain, palpitations , syncopaal attacks . C/o sob grade 2. orthopnea and pnd absent.  C/o frontal headache which g

  General medicine case-1 August 14, 2021  This is an online e log book to discuss our patient de-identified health data shared after taking his /her /guardians signed informed consent.Here we discuss our individual patients problem through series of inputs from available global online community of experts with an aim to solve those patients clinical problem with collective current best evidence based input. This e blog also reflects my patients centered online learning portfolio and your valuable inputs on the comment box is welcome. A 55 years male patient from kondapakagudem ,presented to OPD on 04.08.2021 with a complaint of decreased urine output since 3 days. History of present illness:- -Patient was apparently asymtomatic till 1997 when he had fallen from the current pole after which he had injury to the left upperlimb,lowerlimb and lower back for which he had started using painkillers since many years ,till 1 month back. -6 years back he started developing pedal edema in both l