General medicine elog book

This is an online E log book to discuss our patient's de-identified health data shared after taking his/her/guardian's signed informed consent. Here we discuss our individual patient's problems through series of inputs from available global online community of experts with an aim to solve those patient's clinical problems with collective current best evidence based inputs. This E log book also reflects my patient-centered online learning portfolio and your valuable inputs on the comment A 20 yr old female who is a student came with c/o. painful skin lesions over both UL & LL and trunk since 2 yrs (on -off), H/o nodules on UL & LL with  H/o fever + associated with joint pains, pedal edema , breathlessness  The lesions initially started as erythematous papules and later progressed to hyperpigmented plaques within 3 days K/c/o leprosy diagnosed in govt. hospital taken MB-MDT 11 months prior to onset of present skin lesions Pt was video counselled for tab.thalidom

This is an online E log book to discuss our patient's de-identified health data shared after taking his/her/guardian's signed informed consent. Here we discuss our individual patient's problems through series of inputs from available global online community of experts with an aim to solve those patient's clinical problems with collective current best evidence based inputs. This E log book also reflects my patient-centered online learning portfolio and your valuable inputs on the comment box  58 year old male, labourer by occupation, came to the OPD with the chief complaints of Shortness of breath since 30 days, worsened 1 day back, chest pain since 30 days ,facial puffiness since 30 days History of Presenting illness -  Patient was apparently asymptomatic 4 years ago 4 years ago - pt complained of giddiness, went to a local hospital and was diagnosed as Hypertensive, on regular medication since then T. Nicardia 10mg, T. Arkamine 0.1mg sos 2 years back Pt developed B/L

A 55 year old from Aiti pamula who was a farmer came with C/o decreased urine output ,pedal edema,sob since 4 years Patient was apparently asymptomatic 4 years back then he developed bilateral pedal oedema (pitting type), gradually progressive, a/w sob and h/o decreased urine output. No h/o palpitations,burning micturition. He was diagnosed with CKD and was undergoing 2 sessions of dialysis per week since 4 years because of which he stopped the agricultural work. K/c/o HTN since 4 yrs -ON tablet Nicardia 10mg Not a k/c/o DM,TB,ASTHMA, EPILEPSY,CAD. No significant family history ON EXAMINATION: PATIENT IS CONSCIOUS,COHERENT , COOPERATIVE. Pallor- present B/L Pedal edema (pitting type) present No icterus, clubbing, cyanosis, koilonychia,generalised lymphadenopathy. TEMP-AFEBRILE. PR-83BPM BP-120/80MMHG RR-17CPM SPO2-98 GRBS-121MG/DL CVS-S1S2+ RS-BAE+,NVBS. CNS-NAD P/A- soft, non-tender,BS+ INVESTIGATIONS- ON 22/12/2021 BLOOD UREA-79MG/DL SERUM CREATININE-7.4MG/DL SODIUM-148MEQ/L POTASSIU