A 26 year old patient with pyelonephritis

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:

Hi , I am Harsha Chandana ,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 40yr old woman who works in a glass company was admitted in to the hospital on 31st of may with the chief complaints of  -joint pains since 1 year -swelling in the abdomen and swelling in the legs since 1 year -rashes on her entire body since 1 year History of presenting illness: Patient has been visiting local hospitals for the above mentioned complaints but the treatment was ineffective.The patient had fever for 4-5days and had vomited for 3 times after her admission into the hospital.Her vomit did not contain any food particles.The patient also had reduced urine output and reduced appetite along with SOB. Past history: No history of diabetes or hypertension. Personal history: No addictions Mixed diet Adequate sleep Family history: Nil General examination: Patient is conscious,

Hi , I am Harsha Chandana ,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 26 year old woman with pyelonephritis  A 26 year old house wife came to the OPD with the chief complaint of fever since 5 days. She was admitted 6 days ago. History of presenting illness: Patient has back pain since 15 days and fever not accompanied with cough or cold since 5 days before she was admitted.Upon taking blood tests it was found that her WBCs were higher than normal and she was asked to visit a doctor. The patient had vomiting for 4 days and swelling in the face and abdomen for 2 days and also passed blood urine for 2days after admission. Past history: The patient underwent a heart surgery at the age of 10 and was asked to take Acetron 2mg everyday which she stopped taking after 2yrs but resumed 7 months ago. Personal history: No addictions  Mixed diet  Adequate sleep