03 Sai Tarun

  GENERAL MEDICINE CASE  Welcome and greetings to every one who are visiting my blog. This is A.Sai Tarun of 3rd semester.  This is an online E log platform to discuss our patient's de-identified health data shared after taking his/her/guardian's signed informed consent. I have been given this case in order to solve in an attempt to understand the topic of patient's clinical data analysis to develop my competency in reading and comprehending clinical data and come up with a diagnosis and treatment plan. Introduction 65 yr old male came to the casuality with chief complaints pedal edema since 1 and half year.Decreased urine output since one and half year. History of present illness Patient was apparently asymptomatic for 1 and half year back then he developed pedal edema which was gradual onset progressive in nature, came to kims for further investigations. HISTORY OF PAST ILLNESS  K/C/O   HTN N/K/C/O   DM,Thyroid ,TB,Epilepsy,Asthma. PERSONAL HISTORY • Mixed diet • Loss of

Diagnosis - viral pyrexia (dengue NS1 positive) UNIT 5ADMISSION: Chief complaints A 14year old male resident of chanduru came in to casualty with chief complaints of  fever since 4 days. C/o cough since 4days Presenting illness Patient was apparently asymptomatic 4 days back then he developed fever which is of incidious in onset, intermittent and is of high  grade fever,a/w chills and body pains. C/O cough since 4 days which is associated with sputum .  Patient has  h/o  1episode of vomiting 2days back which is non bilious,non projectile. No h/o pedal oedema,decreased urine output,sob,palpitations. No h/o chest pain,abdominal pain PAST HISTORY : Not a k/c/o HTN,DM, CAD, asthma, TB, epilepsy. PERSONAL HISTORY: Patient has mixed diet with normal appetite and adequate sleep.  he has normal bowel movements and bladder filling.  No addictions.  FAMILY HISTORY No significant family history or allergic history.  GENERAL EXAMNATION: Patient is c/c/c with moderate built and moderate nourishment