srimukhi

A 49 YEAR OLD MALE PATIENT CAME WITH SEVERE VOMITINGS AND HIGH BLOOD SUGARS. CASE SHEET: Chief complaints: A 47 year old male, driver by occupation, came to causality with chief complaints of: - vomitings since 2:00 a.m.- 8-10 episodes    (18-07-2022) HISTORY OF PRESENT ILLNESS: The patient was apparently asymptomatic 10 years back. Then he had fever, generalised weakness for which he got checked with the local practitioner and was diagnosed with type II Diabetes Mellitus and started with OHA (oral hypoglycemic agents). A year later, he developed headacheheadache and was diagnosed with hypertension for which he used medication for an year and stopped them. 6 years back, the patient developed weakness of limbs (lower limbs weakness than that of your limbs) for which he got diagnosed with low potassium levels and treatment was given conservatively. 15 days back, the patient had symptoms of headache with blackouts. He also developed vomitings 3 to 4 episodes for which he went to a local h

A 49 YEAR OLD MALE CAME WITH ABDOMINAL DISTENSION AND PEDAL EDEMA.CASE SHEET: Chief complaints: A 49 year old male, driver by occupation came to causality with chief complaints of: - Abdominal distention since 10 days - pedal edema since 10 days HISTORY OF PRESENT ILLNESS: The patient was apparently asymptomatic 20 years back. At age of 10, he developed seizures, which subsided itself without any medication. 10 years back, patient has scaly lesions on hands and legs for which he was diagnosed as psoriasis. Since then he was on regular medication. A year back, the patient has yellowish discoloration of sclera for which he used herbal medicine for 6 days. Again after 3 months, he had similar case of yellowish discoloration of sclera for which he used herbal medicine for 7 days. He had yellowish discoloration for 20 days and distention of abdomen for 10 days and pedal edema for 10 days. ASSOCIATED DISEASES: No significant diseases. PAST HISTORY: The patient was a known case of psoriasis 2

 A patient who is 45 yr old male came to OPD with chief complaints of fever since 2 days and slurring of speech since 1 day and pain in both lowerlimbs . HISTORY OF PRESENT ILLNESS     Patient is a daily wage worker by occupation . Patient was apparently asymptomatic 2 years back then his appetite increased( about 5- 6 times a day ) for which he came to KIMS hospital and diagnosed with Diabetes.He used oral hypoglycemic drugs for first 6 months.Then from past 1.5 years he is on insulin.He was a chronic alcoholic since 25 yrs. He consumes more than 180ml / day . Urine output increased since 2 years about 10 times a day.Decreased weight about 25kg since 2 years. Then since 2 days he developed fever which was high grade, continuous and associated with chills and rigor and also presence of neck stiffness and burning Micturition.Patient was also anemic for which he received blood transfusion   He developed slurring of speech since 1 day then he came to hospital the next day HISTORY OF PA

This is online E log book to discuss our patients health data shared after taking his guardians informed consent form I have been given this case to solve in an attempt to understand topic of" patient clinical data analysis" to develop my competency in reading and comprehensing clinical data including history clinical findings  investigations and come with a diagnosis and treatment plan.  This is a case of 14 yr old female diagnosed with Sickle cell anaemia have multiple admissions for sickle cell crisis now presented with chief complaints of        - Joint pains more at night         - Right knee pain since 15 days         - left leg shin pain HOPI Patient was apparently asymptomatic 10 yrs back and diagnosed as Sicke cell anaemia with known history of Abdominal pain, yellowish discoloration of eyes,SOB,fever,dry cough, pleural tap and she had blood transfusion 15 times since childhood and had multiple episodes of sickle cell crisis and brochopneumonia and pancreatitis