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 ...

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 da...

  BIMONTHLY INTERNAL ASSESSMENT FOR THE MONTH OF MAY Most of the information here have been collected from different reference sites, the links to which have been mentioned. The points copy pasted have been put in quotes.  The questions to the cases being discussed can be viewed from the link below 👇 'http://medicinedepartment.blogspot.com/2021/05/online-blended-bimonthly-assignment.html?m=1' 1) Pulmonology (10 Marks)  A) Link to patient details: https://soumyanadella128eloggm.blogspot.com/2021/05/a-55-year-old-female-with-shortness-of.html 1) What is the evolution of the symptomatology in this patient in terms of an event timeline and where is the anatomical localization for the problem and what is the primary etiology of the patient's problem? A 55 year old woman, farmer by occupation with a history of on and off episodes of Shortness of breath since the past 20 years, a known diabetic since the past 8 years and a known hypertensive since the past 20 days presented wit...

 19 year old male resident of Nalgonda and currently studying intermediate ,came to opd with complaints of : -Itchy Ring leisons over arms ,abdomen ,thigh and groin since 1 and half year . -Purple stretch marks all over abdomen ,lower back ,upper limbs ,thighs since 1 year . -Abdominal distension and facial puffiness since 6 months. - Pedal edema since 3 months. - Low back ache since 3 months . - Feeling low , not feeling to talk to anyone. - Weight gain and decreased libido since 3months. - Loss of libido and erectile dysfunction since 2 months . Pt was apparently alright one and half year ago , when he slowly developed erythematous round leisons which are annular shaped and itchy all over abdomen , upper limb ,groin and inner thigh region . No history of fever back then. No other complaints apart from skin lesions. Pt visited local RMP where he prescribed auyurvedic medications and other creams ( unknown composition as pt don't have them currently ). He also prescribed tablets (u...