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INTERNSHIP LEARNING AND PROCEDURES PERFORMED

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  INTERNSHIP LEARNING AND PROCEDURES PERFORMED  This is B.Anila Reddy    posted in general medicine from 1st     November to 31st December  From 15th November    to 15th December i was posted in Unit 2  Blogs created during my postings: Chief complaints of Generalized body swelling since 3 days C/o pain Abdomen - 3 days Slurring of Speech - yesterday night Patient as appareutly alright 3 days back then he had Generalised body sweling associated pitting edema Pain Abdomen Since 3 days. not diffuse not associated with nausea and vomitings. Slurring of Speech since yesterday Night. No weakness in ULand LL but pain in both LL. Tenderness present on touch Remaining data is shown in the below link https://anila23reddy.blogspot.com/2023/12/a-53-year-o ld-male-with-generalised.html https://chat.whatsapp.com/DAgcE5ECHKNKfL799x8CXG  OSCE  Q: What could be the provisional diagnosis based on the information provided? A: Possible provisional diagnoses include diabetic ketoacidosis, acute kidney inj
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A 53 year old male with generalised body swelling,pain abdomen since 3days ,slurring of speech since yesterday

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Chief complaints of Generalized body swelling since 3 days C/o pain Abdomen - 3 days Slurring of Speech - yesterday night Patient as apparently alright 3 days back then he had Generalised body swelling associated pitting edema Pain Abdomen Since 3 days. not diffuse not associated with nausea and vomitings. Slurring of Speech since yesterday Night. No weakness in ULand LL but pain in both LL. Tenderness present on touch 3. HISTORY OF PAST ILLNESS K/c/oDM-II since 3 years on insulin K/c/o CKD since 2 years K/c/o CAD 15 days back Pt had anasarca 15 days back weut to hospital& diagnosed with CAD and on conservative management Personal history  Appetite normal  Bowel and bladder movements regular  No Addictions  On examination    GENERAL EXAMINATION: Patient is conscious,coherent and cooperative, moderately built and malnourished Pallor: absent  Icterus: absent Cyanosis: absent Clubbing: absent Lymphadenopathy: absent Pedal edema: present VITALS: Temperature: 98 .2F Pulse: 116beats/minu
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A 80year old female with SOB since 3days Pedal edema since 1month

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patient was apparently alright 3days back then she had shortness of breath which is grade 2 insidious in onset gradually progressive to  grade 4   Orthopnea is present  No H/o PND  Pedal edema present since 1month which was pitting type no  Fever since 3days ago low grade type which relived on medication  Past history  K/c/o CKD , HTN,DM-2 since 15years  K/c/o CAD 1month back advised for DTCA but not done  For diabetes she is using linagliptin 5mg OD HTN on amlodipine 5mg OD  Personal history  Appetite normal  Bowel    movements regular , Urine output decreased  No Addictions  On examination      GENERAL EXAMINATION: Patient is conscious,coherent and cooperative, moderately built and malnourished Pallor: mild pallor present  Icterus: absent Cyanosis: absent Clubbing: absent Lymphadenopathy: absent Pedal edema: present VITALS: Temperature: 98 .2F Pulse: 116beats/minute Blood pressure:130/70mm Hg Respiratory rate:20cpm SPO2 -83%at room air ,93%on 10L O2 GRBS 144mg/dl  Systemic examinatio
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A 65 yr old female with pedal edema and facial puffiness

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This is an online E logbook to discuss our patient’s de-identified health data shared after taking his/her/guardian’s signed informed consent.  Here we discuss our individual patient’s problems through series of inputs from an available global online community of experts to solve those patients clinical problems with collective current best evidence-based inputs.  This e-log book also reflects my patient-centered online learning portfolio and your valuable inputs on the comment box are welcome. A 65 year old female came to opd with the chief complaints of fever since 20days ,pedal edema and facial puffiness  from the following day  History of present illness  Patients was apparently asymptomatic 20days ago then she developed fever which is insidious in onset gradually progressive ,low grade fever, intermittent,     Associated with body pains not associated with chills and rigors and weight loss  No history of nocturnal variation of fever  Patient when got fever 20days back she ignored
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