R.Sandeep

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. Case: A 45 year ol male resident of Nalgonda, TSRTC busdriver by occupation came with chief complaints of black colour loose stools since 10 days, C/O loss of appetite since 10 days, C/O SOB while walking since 10 days, C/O easy fatigubility since 10 days HOPI: Patient was apparently asymptomatic 10 days back then he had loose stools daily 4-5 episodes, first episode of stool is semi solid, subsequent stool episodes are of black color and watery in consistency, non muco

Hello everyone! I am an intern in medicine department. One of the important terms of getting internship completion is to complete my daily log with what I learn during course of my duties   Case presentation:     A 38 year old male came with compliants of dysuria with reduced urine output since four days and pain in hip region since 4 days. HOPI:         Pt. was apparently asymptomatic four days back then developed burning micturition which was not subsiding with medications.  History of dysuria,reduced urine output No history of fever,chills,rigor Pain in hip region during standing and sitting. No history of trauma; pt. is able to do his daily activities Past history:   Known case of DM since 5years   Not k/c/o HTN,TB,asthma,epilepsy,chronic heart and kidney diseases   Personal history:He is a smoker since 15 years.smokes 2-4 cigarettes per day.   diet is mixed   Appetite is regular   Bowel movements are regular  No significant family history  GENERAL EXAMINATION: Patient is c/c/c and

R.Sandeep  roll no-115 Attendance from 23rd May to 8th June-2020 Daily logs: 23rd may:  OP day: seen cases of DKA, 24th may:  Sunday read about DKA 25th may: Collecting reports and monitoring patient from my unit 26th may: Discussed about case of DKA with PG 27th may: Case discussion about hypovolemic shock secondary to acute diarrhoea 28th may: Discharged our case. Read about CNS examination 29th may: Case discussion about a male patient with sob pedal edema since 1week anuria since 3 days. 30th may: OP day seen cases of AKI,pleural effusion 31th may: Sunday: OP day 1st June : Monitored our unit cases 2nd June : Read about hypokalemic periodic paralysis 3rd June :Read about MI  4th June : Done CNS examination on patient 5th June : Patient monitoring and read about stroke. 6th June :OP day seen cases of hemiplegia, paraplegia.Kept Foley's catheter 7th June : Sunday: collected reports and monitored our patient 8th June: psychiatry op day: seen cases of delirium, schizophrenia 9th Ju