med blog

psmr A case of 65 yr old came with the chief  of  Vomitings since 5 days  Altered sensorium since 4 days.  Patient was apparently asymptomatic 7 months back  when he suddenly developed pain in the low back and loin region for which he went to hospital and was diagnosed with Ckd .. but was only on maintainance medication since  7 months and  SINCE 1 month patient had history of intermittent head ache , FEVER  intermittent, which was low grade , no evening rise of temperature ,not associated  with chills rigors . Headache was not associated with blurring of vision and diplopia .No history of ,giddiness ,photophobia and phono phobia . Pt even has history of ? CAD , was on medication since 6 months . Since 10 days patient had h/o loss of appetite and generalised weakness. H/o vomittings since 5 days , 5-6 episodes/day, non bilious,non- blood stained, not associated  with pain abdomen, loose stools, immediately after food intake. So patient g...

24y/M with c/o redness and itching lesions on skin on abdomen, groin,and left lower limb(on &off)since 2 yrs He used itraconazole and monteleukast ointment intermittently for 2 months C/o facial puffiness, abdominal distension, wt gain,stria on abdomen reprated allergies since 6 months BP:140/100 mm Hg  Pulse:100

 I am an intern in medicine department and one of the important terms of getting the internship completion is to complete my log book with my daily log of what I learn during the course of my duties.  Case presentation   48 yr old female resident of miryalaguda came to hospital with chief complaints of vomiting, loose stools,fever,facial puffiness sob pain abdomen since 4 days  HOPI: Pt. was apparently asymptomatic 4days back ,then she developed vomitings 6-8episodes per day ,watery,bilious, immediately after ingestion of food C/o loose stools since 4days 8-10 episodes watery no h/o blood in stools C/o fever high grade intermittent not associated with chills and rigor C/o diffuse pain abdomen and abdominal distension since 1 day C/o sob grade 3 since 1day  H/o reduced urine output  No h/o burning micturition,frothy urine No h/o chest pain,pedal edema,palpitations PAST HISTORY: K/C/O diabetes since 5 yrs on OHA HTN since 1 yr 

23rd may  introduction to medicine internship and briefing 24/5 read about dka 25/5 disscussed about aidp 26/5 read about intubation and tried it 27/5 read about CNS examination 28/5 opd admitted case of cellulitis  29/5 read about cns examination  30/5 read about antihistamines  31/5 done abg sample procedure and its resut interpretation  1/6 discussion about cellulitis  2/6 read about antibiotic resistance  3/6 disscussed  about GBS 4/6 op day 5/6 read about rheumatoid arthritis  6/6 discussed about carbepenems 7/6 discussed about antihistamines  8/6 to 23/6 Psychiatry              Seen case of depression                                      Anxiety disorder                                      Schizophrenia  ...