Medicine log book by Pujitha Aparna

FINAL PRACTICAL EXAMINATION-SHORT CASE Feb 8,2022  "This is an 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 a series of inputs from available global online community of experts with an aim to solve those patients clinical problems with collective current best evidence based inputs .This E log book reflects my patient centered online leading portfolio and your inputs on the comment box is welcomed." CHIEF COMPLAINTS: A 50 year male patient farmer by occupation brought  to casualty with h/o altered sensorium since 1 day H/o fever since 4 days. HISTORY OF PRESENTING ILLNESS - Patient was apparently asymptomatic 4 days ago,then he developed fever which is high grade,No diurnal variation, associated with chills. No h/o cough and GI symptoms.  Attenders tells h/o stoppage of  oral hypoglycemic agents for 3days, h/o decreased inta

12) Proton pump inhibitors 11) Ascitic Fluid analysis  14) Treatment of urinary tract infections  15) Differential diagnosis of fever with rash 17) Antihypertensive drugs in chronic renal failure 20) Hormones secreted by pituitary gland 18) Types of intracranial hemorrhage 4) Etiology of pleural effusion and diagnostic criteria of pleural effusion  5) Diagnosis and treatment of dengue fever 6) Clinical features and diagnosis of peptic ulcer disease. 7) Treatment of acute pyelonephritis  8) Treatment of tuberculosis  10) Complications of dialysis  3) Renal calculi 19) Criteria for diagnosing infective endocarditis  1) Define heart failure. Etiology and clinical features of heart failure ? How do we diagnose heart failure clinically, physical examination and various modalities used in diagnosis of heart failure.  Write a brief note on treatment of heart failure . 2) Define cirrhosis of liver.  Etiopathogenesis of cirrhosis. Write a brief note on clinical features, diagnosis and treatment

80 YEAR OLD MALE PATIENT PRESENTED WITH DECREASED URINE OUTPUT  December 20, 2021 This is an online Elog book to discuss our patient deidentified health data shared after taking his/ her guardians signed informed consent. Here we discuss our individual patient problems through series of inputs from available Global online community of experts with an aim to solve the patients  clinical problem with current best evidence based input. This Elog also reflects my patient centered online learning portfolio. 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 a diagnosis and treatment plan. Date of admission:13/12/2021 CHIEF COMPLAINTS: A 80 year old male resident of nalgonda, farmer by occupation came to OPD with chief complaints of decreased urine output with burning micturition since 15 days. H