E log book by Rithika Mukkawar

 T his is an online E-log entry blog to discuss and understand the clinical data analysis of a patient, to develop competency in comprehending clinical problems, and providing evidence- based inputs in order to come up with a diagnosis and effective treatment plan to the best of my ability. A 55year old came to hospital with chief complaints of weakness since 1 month which increased in last 5 days. History of presenting illness: Patient had joint pains since 6years , it was associated with fever. He has been taking Fabric 40 for that joint pains. Cough since 2 years which was insidious in onset, gradually progressive, with sputum . Sputum was pale coloured , filled 1/2 cup for whole  day , cough increased at night. Fever since 1 month which was on and off , he used medication for fever. Weakness of body started 1 month back when he took alcohol in excess amount and was not eating food properly. Weakness of body increased in last 5 days . He has shortness of breath since 1 month grade 3

 T his is an online E-log entry blog to discuss and understand the clinical data analysis of a patient, to develop competency in comprehending clinical problems, and providing evidence- based inputs in order to come up with a diagnosis and effective treatment plan to the best of my ability. A 34 year old female came to the hospital with chief complaints  1) pedal edema since 7 days 2) Abdominal distension since 7days 3) Decreased urine output since 2days. HISTORY OF PRESENTING ILLNESSES: She was apparently asymptomatic 7 days back,then she developed pedal edema which was sudden in onset, persistent ,bilateral pitting typ e. She has abdominal distension since 7days worsening since 2 days,there is also tightness in abdomen. History of decreased urine output since 2days. History of vomiting since 7days ,4-5 episodes per day non projectile,non bilious,non blood tinged,assosciated with nausea. History of constipation. History of past illnesses: H/o fever in the last month, and that was diag

 Th is is an online E-log entry blog to discuss and understand the clinical data analysis of a patient, to develop competency in comprehending clinical problems, and providing evidence- based inputs in order to come up with a diagnosis and effective treatment plan to the best of my ability. A 22 year old female,R/O Nakrekal, who is a Student,came with the chief complaints of  1)Itching all over body since 5 days. 2)Rashes all over body since 5 days. History of presenting illness: The patient was apparently asymptomatic  1month back when she developed rashes  over arms,legs and abdomen after contact  with some plants in her lemon field for  which she went to a local doctor for  treatment,where she was prescribed steroid  ointment(halobetasol proprionate) and oral  medications,which she took for 10days and  the rash subsided but blackish spots  remained over skin. 10 days back(21-10-21) she developed fever  which was  high grade , intermittent associated with  chills,vomitings and genera