A 26 year old patient with pyelonephritis

A 70 year old male patient came to opd with the chief complain of slurring of speech and inability to walk. October 26, 2023                         E LOG GENERAL MEDICINE. Hi, I am Harsha Chahdana,5th Sem Medical Student.  This is an online e-log book to discuss our patient's health data shared after taking his/her/guardian's consent . This also reflects patient centered care and online learning portfolio. This E-log book also reflects my patient-centered online learning portfolio and of course, your valuable inputs and feedbacks are most welcome through the comments box provided at the very end. HAPPY READING.  * This is an ongoing case. I am in the process of updating  and editing this ELOG as and when required                                CASE SHEET.                                             Chief complaints and duration. A 70 yr old male patient came with the chief complain of unable to walk since two years and difficulty in speech since two years and difficulty in swa

A 48 year old male patient came with the chief complaints of cold, cough and fever since 10 days. HISTORY OF PRESENTING ILLNESS : The patient was apparently asymptomatic 10 days back, then he developed          Fever : sudden in onset                      Intermittent in nature                      High grade Not associated with nausea, vomiting, chills, rigors or headache. The cough was associated with sputum which was non blood stained.   PAST HISTORY: No history of similar complaints in the past. N/K/C/O diabetes, hypertension, TB, Asthma or epilepsy. PERSONAL HISTORY: Appetite - normal Sleep - adequate  Diet - mixed Bowel and bladder movements - regular No addictions FAMILY HISTORY: Not significant  GENERAL EXAMINATION: Patient was C/C/C and slightly malnourished  No pallor No icterus No cyanosis No clubbing No lymphadenopathy No pedal oedema VITALS: BP- 140/80 mm Hg PR- 76 bpm RR- 20 cpm Temp- Afebrile

A 25 year old female came with the chief complaints of back pain since 1 year. HISTORY OF PRESENTING ILLNESSES: The patient was apparently asymptomatic 1 yr back then developed back pain which was severe, gradually progressive and non radiating. The pain was aggravated on standing and relieved on rest and medication. The pain was more during night and was associated with difficulty in breathing. PAST HISTORY: N/K/C/O DM, HTN, Asthma or epilepsy FAMILY HISTORY:  not significant  PERSONAL HISTORY: Appetite - normal Sleep - adequate  Diet - mixed Bowel and bladder movements - regular No addictions GENERAL EXAMINATION: Patient was C/C/C and moderately nourished  No pallor No icterus No cyanosis No clubbing No lymphadenopathy No pedal oedema VITALS: Temp- Afebrile BP- 110/60 mm  PR- 100bpm RR- 20 cpm

 A 42 year old female with cough and fever. Hi , I am Harsha Chandana ,a 5th semester student. This is an online elog book to discuss our patients health data after taking her consent.  This also reflects my patient centered online learning portfolio. A 42 year old female came to the OPD with the chief complaints of fever and cough since 1 week. HISTORY OF PRESENTING ILLNESS: The patient was apparently asymptomatic 1 week back then developed fever and cough. The fever was of high grade, intermittent in nature and associated with chills, headache and weight loss. The cough is associated with sputum that is non blood stained, no foul smell and white in colour.There was also hoarseness of voice. There is no history of night sweats, nausea, vomiting and there was no diurnal variation in the temperature. PAST HISTORY: N/K/C/O DM, TB, HTN, Asthma or epilepsy. PERSONAL HISTORY: Appetite - normal Sleep - adequate  Diet - mixed Bowel and bladder movements - regular No addictions FAMILY HISTORY: