01 Divya polagoni

A 29year old male with Thyroiditis with Thyrotoxicos December 05,2023 This is an a online e log book to discuss our patient's de-identified health data shared after taking his / her / guardians signed informed consent. Here we discuss our individual patient's problems through series of inputs from available global online community of experts intending to solve those patient's clinical problem with the collective current best evidence-based input. This E-log also reflects my patient centered online learning portfolio and your valuable inputs. I have been given this case to solve in an attempt to understand the topic of "Patient clinical data analysis" to develop my competency in reading and comprehending clinical data including history, clinical findings, investigations and come up with diagnosis and treatment plan. The patient/ attender was informed the purpose of the information being acquired. An informed consent was taken from patient/ attender and there is omi

CHIEF COMPLAINTS * 45 yr old female came to OPD with chief complaints of swollen legs,leg pain,distended abdomen. HISTORY OF PRESENT ILLNESS  -C/O abdominal distension since 2months - pedal edema and shortness of breath since 2months. -k/o decreased appetite and loss of weight. HISTORY OF PAST ILLNESS   k/c/o DM and on INJ mixtard insulin k/c/o hypothyroidism and on T.Thyronorm k/c/o HTN and on T.Telma. TREATMENT HISTORY k/c/o DM,HTN Not a k/c/o CAD,TB,asthma,chemo,radiation and blood transfusion. PERSONAL HISTORY Mixed diet Appetite Normal Sleep adequate Bowel and Bladder movements regular. FAMILY HISTORY Not significant  PHYSICAL EXAMINATION Temp- afebrile BP-130/70 mm hg Pulse rate-98/min Respiratory rate-22/min Spo2-98% GRBS-540mg% -No signs of pallor,cyanosis,lymphadenopathy,icterus. SYSTEMIC EXAMINATION  CARDIOVASCULAR SYSTEM •S1, S2 heard •No murmurs RESPIRATORY SYSTEM: •NVBS heard •Position of trachea - central •Breath sounds - vesicular ABDOMEN •Shape - distended  •No Tenderne

Divya Polagoni  Roll no :198 CHIEF COMPLAINTS:  * 45 yr old male came to gen medicine department with chief complaints of tremors, numbness in left lower and upper limb, dryness of mouth , loss of control , abdominal pain. HISTORY OF PRESENT ILLNESS: He was apparently asymptomatic 6 months back. He used to suffer from abdominal pain occassionally ( when he takes spicy food). He consulted doctor and took medicine. He got tremors on thursday morning 7:30 am as he did not consume alcohol. Tremors disappeared and became normal after consuming alcohol. He then took alcohol on friday and no symptoms seen. On saturday, he did not consume alcohol and he developed tremors, dryness of mouth, loss of control. He immediately went to RMP and took 2 injections. The symptoms did not diasappear. He then went to a private hospital. Ecg, RBS ,MRI,lipid profile tests were done and are completely normal. He was then reffered to KIMS hospital.  Past illness: No h/o DM HTN TB epilepsy asthma chromosomal abn

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 Internal Assessment Paper General Medicine March 20 2022