Elog Bhavani G - 36

  A 39 Yr old male , electrician by occupation, with no significant medical history since childhood. Chief complaints:- **C/o decreased responsiveness since 2 days **Not eating since 2 days  **Decreased speech since 2 days--completely not talking since today morning. Past illness:- **8 months ago -- c/o low back ache , pain abdomen -- was told to have renal stones , meatal stenosis--underwent urethral dilatation in July 2021 This was known through the discharge card . ** August last week , 2021 -- c/o left lower limb weakness, slow gradually progressed to right LL -- B/L Paraplegia -- MRI was done --? Potts spine Used ATT for 15 days and stopped , due to nausea and loss of appetite, patient was bedridden since, then , used unani medication. **H.D was advised 2 months ago - but didn't get it done due to fear of death ( among relatives deaths on H.D+) ** Since September 2021--Bed sores developed,  1 daily dressing done ,but patient was active and talks to everyone. **C/o lo...

  A 65 year old female who is a homemaker and a resident of nuthanakal came to op with complaints of pain abdomen since 4 days and SOB since 2 days.she also complaints of reduced urine output since 2 days. She has history of fever since 5 days which is low grade associated with chills which was intermittent and has no diurnal variations. No h/o nausea, vomiting. No h/o burning micturition. No h/o hematuria/frothy urine. No h/o cough,cold. She is k/c/o HTN since 6 years on T.LOSARTAN 50Mg+T.HYDROCHLOROTHIAZIDE 12.5 Mg Not a k/c/o DM, TB,Asthma, Epilepsy She has normal appetite,takes mixed diet, regular bowel and bladder movements,no addictions. O/E: Patient is conscious, coherent and cooperative. Bilateral Pedal edema is present No pallor, icterus, cyanosis, clubbing, lymphadenopathy. Vitals: Temp-98.5 degrees F PR-81BPM RR-20 CPM BP-120/70 mm Hg Spo2:97% at room air GRBS-151 Mg% RS: bilateral air entry+;clear CVS: S1S2+ P/A: soft, non tender CNS: NFD Provisional diagnosis: AKI unde...

 This is an 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 patient's 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 is welcome." Admitted on 29/10/21(friday)  A 22 yrs old female came to the casuality with 1)c/o fever since 10days, 2) c/o rashes over body with itching sensation since 4 days The patient was apparently asymptomatic 1 month back when she developed rashes over her legs and arms and abdomen after contact with something in her family's lemon field. For this, they visited a local doctor the next day, who prescribed her steroid ointment (halobetasol propionate) and oral medica...