Medicine case discussion

 Internship assessment I , DR.N.Deepa got posted in the department of general medicine from 13th April 2023 to 12th June 2023. Unit duties: I had worked in the unit for the first 15 days.I was guided by Dr.Nishitha mam (PGy2), Dr.Navya mam (PGy1). Later I worked under the guidance of Dr.Deepika mam (PGy2) , Dr.Ajay sir (PGy1). Case 1: A 48 year old male, auto driver by occupation came to the opd with chief complaints of  - Abdominal distension since 20 days - Bilateral pedal edema since 15 days - Decreased urine output since 10 days - Shortness of breath since 10 days -Blood in stools since 5 days - Loose stools since 4 days https://93deepanandikonda.blogspot.com/2023/04/48-year-old-male-with-abdominal.html I did an ascitic tap in this patient. This patient had a history of chronic alcoholism and developed chronic liver disease. We got an endoscopy done was he was found out to have grade 4 oesophageal varices and on proctoscopy he had grade 2 internal haemorrhoids. DISCUSSION: What mor

 Dr.N.Deepa , Internee Roll no. 105 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 come up with a diagnosis and treatment plan.  Date of admission : 7/06/2023 CASE :  Patient was brought to the opd with chief complaints of Fever since 1week c/o generalised weakness and headache since 1 week  c/o vomitings since 3 days c/o loose stools since 3 days HISTORY OF PRESENT ILLNESS: Patient was apparently alright 1week ago then he developed fever which is high grade, intermittent, associated with chills and rigor. He was in Orissa while he developed fever then he returned to his home 2 days later. He also had headache and general weakness  He developed vomitings since 3 days, 5 episodes, with food as content, non bilious, non projectile, not blood stained Loose stools since 3 days, 3 episodes/day

 Dr.N.Deepa , Internee Roll no. 105 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 come up with a diagnosis and treatment plan.  Date of admission : 7/06/2023 CASE: Patient was brought to the casualty with complaints of inability to speak since 6 hrs, weakness in right upper and lower limb since 6 hrs and deviation of angle of mouth to left since 6hrs. HOPI :  Patient was apparently asymptomatic 6hrs back ,then he developed inability to speak since 6 hrs, weakness in right upper and lower limb since 6 hrs and deviation of angle of mouth to left since 6hrs. No h/o loss of consciousness, drooling of saliva No h/o fever, seizures, vomiting,loose stools. Past history: History of CVA 2 years back.Around 5-6am in the morning he got up and was getting ready to go for work.But he couldn't but

 Dr.N.Deepa , Internee Roll no. 105 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 come up with a diagnosis and treatment plan.  Date of admission : 31/05/2023 CASE :  Patient was brought to the opd with complaints of fever since 4 days and blisters over the left lower limb since 1 day. HISTORY OF PRESENT ILLNESS: Patient was apparently normal 8 days back,later he felt pain in his left leg for which he applied zandu balm over the left limb.3 days later he developed edema of left lower limb which gradually progressed from the foot to above knee, followed which he developed blisters . H/o fever 4 days back which is continuous,low grade ,not associated with chills and rigors. a/w burning micturition No h/o cough,cold,loose stools, vomitings,sob. Urine output decreased on the day of admission