General medicine case

General medicine case 05 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. A 39 year old male who works as chef stays at Miryalaguda came to OPD with Chief complaints of fever since 10 days, headache since 3 days, abdomen pain since 3 days, increased frequency of urination with pain and burning micturition since 3 days. History of Present illness:- Patient was apparently asymptomatic since 3 years ago.  Three years ago patient suffered from frequent urination cannot sustain with abdomen pain,back ache , headache diagnosed as Type 2 Diabetes and he is on routine check up. One month ago onwards his sugar levels are fluctuaed and rise above 300 . From

 BDS 2nd Internal Assessment 1) Anatomical and Etiological localization for Hemiparesis and further management 2)Etiology Pathogenesis Clinical features Management Complications of Acute Pancreatitis. 3) Dengue fever Clinical features and Complications. 4)Cushing Syndrome. 6) Cardiogenic Pulmonary Edema. 7) Rheumatoid Arthritis. 8) Leptospirosis. 9) Heart failure. 10) Ascites. 11) Pyrexia of unknown origin. 12) Drug induced liver injury. 13) Evaluation of low back ache. 14) Renal artery stenosis. 15) Acute kidney injury. 16) Oral hypoglycemic agent. 17) Micro vascular and Macro vascular complications. 19) Metabolic acidosis. 20) Iron deficiency Anemia.

  General Medicine case-4   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. A 32years old Male who work as construction worker presented to the OPD with Chief complaints of fever since 4-5 days,cold since 1 week, cough since 1 week,headache and giddiness since 1 week. History of present illness:- Patient was apparently asymptomatic since 1 week ago. Then he gradually developed weakness and low grade intermittent fever with no diurnal variation associated with non productive cough and cold.  Patient daily routine is he wakes at 5 A.M in morning. Has his breakfast by 8 A.M and goes to work by 9 A.M and has lunch by 2 P.M . He does his routine work a

  General Medicine Case 03 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 input. A 60 year old female who used to work as a daily labour presently staying in home came with the chief complaint of fever, vomiting after eating , decreased urine output, pedal edema. History of Present illness:- Fever since 3 days back and got subsided,loose stools since 3 days back and got subsided. Pedal edema on and off, decreased urine output since 3 days, drowsiness since 2 days. Generalised weakness since 10 days. Vomiting after eating. Shortness of breath, Facial puffiness since 2 days.  Past History:- Patient have Hypertension since 20 years. No history of Diabetes,