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MY EXPERIENCE IN MEDICINE DEPARTMENT

  This is anila reddy butukuri a medical student in India. Welcome to my blog where u can see my interaction with the patient    which has been improved alot since 3rd year of my mbbs for which I am very grateful to our HOD sir who guided us    and pushed us to become a very good medical student  Our learning in the medicine department    is centred around patient  Doctor relationship and a practical approach towards the subject  coming to the final diagnosis without the help of unnecessary investigations  Iam really glad to work in this department with the at most patient faculty who gave us knowledgeable insights on each and every case making us well trained medical professionals. A 34 year old male who came to our opd as a referral from psychiatry department as a k/c/o alcoholic dependence and he is seems to completely okay when he visited out opd we performed each and every system examination where he is completely alright there...

A 70 year old male with chest pain , cough,shortness of breath and fever

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  70 year old male came  to OPD with  CHEIF COMPLAINTS :   1.Chest Pain since 10 days  2.Cough since 10 days  3.Shortness of breath  since 8-10 days 4. Fever since 1 week Hopi- Patient was apparently asymptomatic 10 days back then he developed cough which  is productive with black coloured mucoid sputum , insidious in onset and gradually progressive, diurnal variations present more during night.  No seasonal variations.  No aggravating or relieving factors. Chest pain is left sided non radiating type not associated with excessive sweating, palpitations,pedal edema,giddiness Shortness of breath  since 8 days  which is. insidious in onset and gradually progressive,progressed from grade 1 to grade 3 . No orthopnea,no Paroxysmal nocturnal dyspnea  No seasonal variation,no diurnal variation. Fever since 1 week ,high grade associated with chills and rigors Evening rise of temperature present, loss of weight present loss of ...

A 45 year old female came to opd with the rheumatoid arthritis

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A 45 year old female came to opd with the  Chief complaints Pain in wrists and ankles since 4 years , Neck pain since 4 years and  Headache since 2 years  History of presenting illness : Patient was apparently asymptomatic 4 years ago then she developed pain firstly in left ankle followed by left wrist ,neck , right wrist joints,PIP , metacarpophalengeal joints are also  involved in  right hand,insidious in onset gradually progressive aggrevated by work and relived on medication. Pain is confined to joint . H/O pain in neck which radiated to shoulders and relieved on medication. No h/o myalgia No h/ o trauma No h/o swelling,deformity History of morning stiffness and lasts  for 2 hours . Generalised weakness is present Headache since 2 years not associated with nausea and vomitings History of low grade fever intermittent in nature,not associated with chills and rigors  No h/o pain abdomen,loose stools,burning micturition,decreased urinary output No h/o ...