E log book by Rithika Mukkawar

Patient is a 23 year old Male, farmer by occupation. - Around 6 days ago after a normal routine day ,he had his dinner   and normal sleep. -From the next morning he developed - Body Ache which lasted for 2days , also had headache, abdominal pain , for which he went to a local doctor but pain didn't subside. - Fever associated with chills and rigor  which decreased with medication from a local doctor but the abdominal pain was consistent. - Loose stools around 8-10 times per day for 3days , no blood in stools. - Vomiting 10 times per day which was associated with nausea, has food contents in it , non bilious , non projectile , not blood stained. - No history of outside food consumption.Only home made chicken last night. PAST HISTORY: No similar complaints in past. No history of Diabetes, hypertension,asthama, seizure and cad. No addictions. FAMILY HISTORY: Not significant. Personal history:

 Medicine paper 1 1Ans:                                     2Ans 3Ans 4Ans: 5Ans 6ans: 8ans: 9ans: MEDICINE PAPER 2

 This 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. Chief Complaints: A 64 year old Male patient resident of Nalgonda, who was a RTC Driver 15years back ,came to the opd with chief complaints of : 1) Decreased urine output since 20 days  2) Shortness of breath since 20 days  3) Pedal edema since 20 days. History of presenting illness: •  10 years ago he was working as a driver and owned a vegetable shop , for few days he was not feeling well and he visited local hospital , diagnosed as hypertensive , he is  on T-Aten-Am 50mg. • 5years ago,he got injured to his left palm when he was cutting a tree, he had pain,swelling and blackish discoloration,he was then incidentally diagnosed as diabetic and is on medication Tab.Metformin 500 mg.The injury healed.