S. Amulya

60 year old male Pt came with the complaints of  abdominal distension since 15 days swelling of both lower limbs, upperlimbs  facial puffiness since 4 days   difficulty in breathing since 2-3 days HOPI: Patient was apparently alright 15 days back when he developed abdominal distension which developed gradually a/w b/l pedal edema, pitting type (R>L) , upper limbs edema and facial puffiness . Since 2-3 days he has SOB which is of grade II/ III  No h/o fever, decreased urine output, heamaturia and frothy urine No h/o chest pain/palpitations/giddiness/ neck pain  H/o CVA (right hemiparesis resolved now) 11 years back when he was also diagnosed with hypertension  H/o hypertension since 11 years on telmibind amh po/od H/o diabetes since 5 years on glimi m2 po/bd H/o right lower limb cellulitis 7 years back H/o ?right lower limb filariasis Personal history: Sleep-normal Appetite-normal Bowel and bladder movements-normal Addictions: Alcohol: occassionally ...

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" Cheif Complaints : A 19yr old male patient came to the opd with chief complaints of fever Since 1 week. HOPI:- Patient was Apparently asymptomatic 1 week back then he developed fever with chills which is high grade ,sudden in onset & associated with body pains .Relieved on medication. 2 days back he was taken to outside hospital there his platelet count was 1,29,000 cells/cumm, yesterday they were 1,32,000cells/cumm.Today they were 98,000cells/ cumm. No h/o Loose stools, v...

This is 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 patients clinical problems with collective current best evidence based inputsThis e-log book also reflects my patient centered online learning portfolio and your valuable inputs on comment box is welcome. 43 year old male , constructor by occupation came to casualty with the  C/O - weakness of right upper and lower limb in the morning  Slight Deviation of mouth towards left side. HOPI- A 43 old male patient construction worker by occupation , was apparently asymptomatic 2 days back and then developed 2-3 episodes of vomitings, food particles as content and non blood stained and asymptomatic till morning 8:00 am and then developed weakness of right upper and lower limb and mild deviation...

A 28 year old patient, farmer by occupation, a resident of Aakaram came to casualty with C/o - bilateral upper and lower limb edema            Body ache HOPI— Patient was apparently asymptomatic 5 days back then he had an episode of low grade fever which is on and off since 2 days associated with generalised body pains and relieved on medication. Then he developed bilateral upper and lower limb edema till ankle gradually progressive, pitting type. He is a farmer .He is off to work at 6 and returns home at 5. Patient takes rice three times a day No h/o rash              Altered consciousness                Associated symptoms:-   Headache   Joint pains    Redness of both eyes   Loss of appetite    1 episode of vomiting 4 days back       PAST HISTORY: H/o - rat bite 5 months back No hypertension        Diabetes ...

 A 19 year old male student came with a chief complaint of joint pains since four days. HISTORY OF PRESENT ILLNESS:-  Patient came to the causality with joint pains since 16/3/2022  Patient is a known case of sickle cell Anemia and Beta thalassemia. He had severe joint pains in the past also since 4 years . He was given IV fluids and antibiotics for the pain. HISTORY OF PAST ILLNESS:- In 2008 patient had yellow discoloration of eyes and visited our hospital and was given iron supplements  In 2012 patient was adviced for HPLC Patient HbF: 27.7% HbAo: 5.4% HbA2: 4.7 HbS : 61.3 - diagnosed with sickle cell Anemia and Beta thalassemia. Patient was adviced to take folic acid 5mg everyday. In 2018 patient had joint pains 1 episode and visited hospital and was given IV fluids and the pain subsided after 4-5 days. In 2019 again the patient had severe joint pains 1 episode and was given IV fluids. In 2020 and 2021 also patient had 1 episode of joint pains each year . In 2022 ...

A 35 year old female from marapaka, came to casualty with c/o shortness of breath since 20 days.  History of present illness :- Pt was apparently asymptomatic, 2 months back then she developed breathlessness which is insiduous in onset since 20 days which aggrevated on performing physical work and was relieved on rest. Then she  visited a local hospital in miryalaguda, on evaluation she had low hemoglobin count and 2 blood transfusions were done and was given medicines for a week. After using these medicines for one week she developed bilateral pedal edema (pitting type). So she visited a hospital in guntur. As there are no aarogyasri services in guntur she came back to nalgonda regarding the same issue. She had one more blood transfusion in Nalgonda hospital. Later she developed breathlessness and visited our hospital. She was on medication and her breathlessness subsided after 3 days of admission. She had 5 blood transfusions here and was on dialysis(10). Pedal edema did not...