General medicine elog

General medicine elog  Hi , I am G.M Sai Bhuvanesh,3rd semester student. This is an online elog book to discuss our patients health data after taking his consent. This also reflects my patient centered online learning portfolio. PATIENT HISTORY: Pt is a 29 yr old male working in a jewelry making shop. At the age of 7yrs, he underwent an operation for inguinal scrotal hernia. Since childhood he suffers from gastric problems. When in class 3-4, tooth extraction done due to dental caries. Pt at that time loved to eat sweets and chocolates. At the age of 11 yrs, in 2006, went to kerala to work in a jewelry making shop. His gastric problems increased (suspected etiology new kind of food, used to eat spicy foods, work very late night). He felt bloated, tenesmus, hard stool(3-4 times/day), constipation, flatulence, abd. pain. Occasionally, few drops of raw blood used to come out with stool (2-3 days continuously, then again with a gap of 1-3 months). Had medicine from a local pharmacy, w

General medicine elog  Hi , I am G.M Sai Bhuvanesh,3rd semester student.  This is an online elog book to discuss our patients health data after taking his consent.  This also reflects my patient centered online learning portfolio. A 55 year old female patient who is resident of choutuppal, nalgonda district and  labourer by profession came to OPD with chief complaints of fatigue, Shortness of breath  History of present illness Patient was apparently asymptomatic 2 days back but she developed fever associated with chills and rigor and no urination and defecation and has shortness of breath and fatigue.and she was confirmed of diabetes Past history Hypertensive for 5 years Patient had experienced same type of symptoms of fatigue, shortness of breath and swelling of leg 3-4 years back and took treatment and later symptoms again appeared 1 1/2 years back and was diagnosed as kidney failure and received treatment for one week and later she came to hospital one month back and has undergone d