Medicine E Log

 Unit 5 admission :  Duty pgs :  DR K VAISHNAVI DR CHANDANA  29 year old female patient came to casualty with history of alleged consumption of rodenticide paste /ratatol  poisoning six days back.  (10 gms - approx ,containing 3% yellow phosphorus) ) followed by complaints of fever with chills 1 episode, 4 days ago subsided with medication c/ of vomitings since 4 days to 2-3 episodes per day ,food as content  complaints of yellowish discoloration of eyes and body since yesterday associated with discolorationn of urine and decreased appetite since 2 days  patient visited local RMP is yesterday morning,she underwent few investigations her hb :3.7,TB 5.6,DB 3.2,AST 270,ALT 340,ALP 135,TP 6.4,Alb 3.9,Glb 2.5 complaints of burning sensation in chest Guiddiness today morning associated with palpitations, so they brought her to our hospital No history of loose stools ,pain abdomen, bleeding gums no discoloration of stool  no history of shortness of breath, blood in stools  history of fever se

Hello everyone this is second year internal  medicine resident , here to discuss a challenging case , me and my team has faced in recent past .    A 18 year old male,from miryalaguda,who completed his 12 th standard , presented to the casualty with chief complaints of  Low backache since  1 week  Generalized weakness, and loss of appetite since 1 week  Fever since 5 days , subsided on medication(on presentation no fever episode )  Yellowish discolouration of eyes since 3 days , High colored urine since  yesterday morning. HISTORY OF PRESENT ILLNESS- Patient was apparently asymptomatic 1 year ago ,then he visited a dentist in view of tooth ache , and later got it removed in view of caries tooth . Since 6 months patient and his mom noticed gradual loss of weight , loosening of clothes . He also gave  history of polyuria,nocturia,polydypsia since 2 months . He used to wake up atleast 6-7 times after he was asleep in view of polyuria . 10 days ago, patient attended a marraige function outs