GMcase1

  Hi, I am Presley C (roll no :96), 5rd semester medical student. This is an online E-log book to discuss our patient’s health data after taking his consent. This also reflects my patient-centered online learning portfolio. A 60year old male agricultural worker by occupation came to hospital with complaints of tremors in right hand Chief complaints Patient complaints of tremors in right forearm and hand History of presenting illness Patient was apparently asymptomatic 2years back He then developed shivering of right hand and arm which was   Insidious on onset and gradually progressive Initally shivering was localised to fingers only, later radiated to Palm.   numbness present Decreased power in right hand inability to hold things,unable to eat food, unable to work.   pain in right thigh   Shivering of right hand aggravated due to stress, anxiety fear, present for sometime during sleep.   Shivering is present throughant the day Intensity increases and decreases. History of past illness

   Hi, I am Presley C (roll no :96), 5rd semester medical student. This is an online E-log book to discuss our patient’s health data after taking his consent. This also reflects my patient-centered online learning portfolio. Chief Complaints: Bilateral loin pain since 3days. History Of Presenting Illness: Patient was apparently asymptomatic 7days back then he sustained snake bite (with Russell viper) on left ring finger while working in the fields,visited local hospital and managed symptomatically.  C/O bilateral loin pain,insidious in onset ,intermittent,gradually progressive,pricking type ,non radiating,aggravates on lying down. C/O low grade fever,Nausea and vomiting,bloating. N/C/O Burning Micturation,decreased or increased urine output. N/C/O cough,cold,body aches,chest pain. Past History: N/k/c/o diabetes HTN,Epilepsy,Tuberculosis,CAD,CVA Personal History: Diet : Mixed  Appetite : Normal Sleep : Normal Bowel and bladder moments :Regular   Addictions: chronic alcoholic since 20yea

  Hi, I am Presley C (roll no :96), 5rd semester medical student. This is an online E-log book to discuss our patient’s health data after taking his consent. This also reflects my patient-centered online learning portfolio. A 75years male resident of  Guntur admitted with chief complaint of scrotal swelling since 2 weeks and reduced urine output since 2days. He is a Known case of heart failure with preserved ejection fraction. Chief complaints  A 75years male resident of  admitted with chief complaint of scrotal swelling since 3 days and reduced urine output since  1 day Known case of heart failure with preserved ejection fraction with anemia Chronic kidney disease 4 stage secondary to diabetic nephropathy  Known case of diabetes mellitus type 2 SOB grade 2 Pedal edema  with pitting type since 2 months  History of present illness No history of trauma,fever. Generalised edema since 3 months History of decreased  urine output since 1 day No history of nausea, vomiting,constipation,loose