121 Kavya Samudrala

  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" 65 yr old male agricultural labourer by occupation came to OPD with  C/O abdominal pain, lower back pain radiating to b/l lower limbs, neck pain with stiffness since 1 year.  History of presenting illness   Patient was apparently asymptomatic 1 year ago later he developed pain in abdomen which Insidious in onset gradually progressive. It is diffuse and dull causing discomfort.It is aggravated on eating,performing daily activities and walking. Pain in the chest is lasts for 2-5 min

  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" A 50 year old female came to opd with Chief complaints of PATIENT CAME TO THE OPD WITH C/O CHEST PAIN SINCE 2 WEEKS C/O HEADACHE SINCE 10 DAYS C/O BODY PAINS SINCE 10 DAYS PATIENT WAS APPARENTLY ASYMPTOMATIC 2 WEEKS BACK THEN SHE DEVELOPED CHEST PAIN OF INSIDIOUS ONSET, DULL ACHING TYPE, NON RADIATING, GENERALISED WEAKNESS+, NOT ASSOCIATED WITH SOB, PALPITATIONS, COUGH, SWEATING. NO AGGREVATING AND RELIEVING FACTORS. NOT ALTERED WITH FOOD INTAKE. BELCHING BLOATING+. HEADACHE OF INS

 Medicine unit duties  monday 17th  Op Audit cases seen Tuesday 18th Opd cases and learnt examination Wednesday 19th Attended rounds Abg Learnt Ultrasound scan of abdomen from Dr. kranthi sir Gallbladder edema Pt was taken  for  Urology referal asked for cect Abdomen in view of bladder cancer  Radiology pg Asked for creatinine value What is the importance of creatinine in cect? Contrast ? Induced nephropathy Thursday 20 Unilateral headache case 21 friday Radiology opinion Mri of extraxial case  discussion 22 saturday Septic arthritis with dehydration with bedsore 23 sunday Hypovolemic shock with DIC with sepsis with paraparesis  24 monday Audit cases 25 tuesday Opd cases Sickle cell anemia case with bone crisis Wednesday Referral ortho Thursday Exam paper correction work Friday 50year old female patient with Gerd and tension headache

Unit postings   17 july 2023 [7/17, 12:00 PM] : Op number -20230725563 A 75 year old female patient came to OPD with history of head injury 5days back while sweeping No history of loss of consciousness No history projectile vomitings Complaints of tingling sensation of both upperand lowerlimbs Pasthistory -  k/c/o Htn since 15 years , on medication amlodipine 5mg  Not k/c/o DM, Epilepsy, TB,  CVD On examination pt is c/c/c Pulse rate - 82bpm Bp-140/80mm Hg Cvs - S1 S2 +, no murmurs RS -BAE+,NVBS+ CNS   B/L pupil - NSRL Tone - Normal in all limbs Power  rt     lt   U.L.   5/5  5/5   L.L.    5/5   5/5 Reflexes  -               B  T  S  K  A  P  Right. +  +   +         Flexion  Left.   +  +   +         Flexion Knee and ankle couldn't be elicited due to injuries Treatment- symptomatic treatment Daily routine She is a homemaker,she wakes up at 7:00am and then  she clean her house and sweep her surroundings to maintain cleanliness  She has breakfast by 8:30 am and then household work . S