general medicine 3

Iam G maheshwari of 3rd semister
This is an E log book to discuss our patient health data
Cheif complaints : A 64 year old male came with a cheif complaints of pain in the right loin since 1 month and vomitings since 1 month .
HOPI : patient was apparently asymptomatic 10 years ago ,then he developed pain in the right loin for which he diagnosed to be having renal stones and got  operated for it . After 3 years he developed bilateral loin pain and diagnosed to be having bilateral renal stones and got operated for it. After 3 years he had a midline swelling and got operated for it. Then after a year he got diffused abdominal pain he went to hospital and endoscopy was done and diagnosed it as intestinal ulcer and managed conservatively . At that time he was also diagnosed with hypertension and diabetes mellitus.  and since 1 month abdominal pain in right loin and vomitings.
Personal history : 
Married 
Farmer 
Appetite : normal 
Nonveg 
Bowel : regular 
Micturation : normal
No known allergies.
Habits: occasional alcohol.
No other habits
No Family history.
Drug history: 
General examination:
Conscious and coherent
No pallor 
No icterus
No cyanosis
No clubbing of fingers
No edema
No malnutrition.
Systemic examination: 
Abdomen 

Shape of abdomen-scaphoid 

Tenderness-no

Palpable mass-no 

Hernial orifices-normal

Freefluid-no 

Liver-not Palpable 

Spleen-not Palpable 

Bowel sounds-no

Cns

Conscious 

Speech -normal 

Cranial nerves-normal 

Sensory system-normal 

Motor system-normal 

Reflexes-normal 

Cerebral signs-normal 

Finger nose in coordination-yes 

Investigation
Obstructive uropathy
Acute kidney infection 

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 Hi, iam maheshwari  of 3rd semester. This an online E logbook to discuss our patients health data after taking his consent.This also reflects my patient centered online learning portfolio. The patient’s consent was taken prior to history taking and examination of his condition. Cheif complaints: A 47 year old female which cheif complaints of pedal edema shortness of breath & abdominal distension and cervical lymphadnopathy  HISTORY OF PRESENT ILLNESS: patient was apparently asymptomatic 6 years back and had generalized body weakness for which she went to hospital and diagnosed it as diabetes mellitus 2 and was on regular medication . 2 months back patient had pedal edema below hip ,pitting type and abdominal distension for which she visited near by hospital and was diagnosed hypotension and hypothyroidism after necessary test pedal edema was subsided on medication but abdominal distension was not subsided for which she came to her hospital and was admitted and treated for 1 weak f
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This is is an online E log book to discuss our patient's deidentified health data shared after taking his/her/guardian's signed in formed 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 protfolio and your valuable inputs on comment box is welcome. Name : G Maheshwari  Roll no : 44 2020 Batch I''ve been given this case to solve in an attempt to understand the topic of "PATIENT CLINICAL DATA ANALYSIS" to develop my competency in reading and comprehending clinical data including history,clinical findings,investigations and comeup with Diagnosis and Treatment plan General medicine case discussion CASE DISCUSSION A 45 year old female came to opd who is a farmer came with , CHEIF COMPLAINTS: Known case of
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