Mohammed Wahaaj

57 YEAR FEMALE WITH DECREASED URINE OUTPUT AND SHORTNESS OF BREATH  COMPLAINTS : A 57 year old female patient presented to the OPD with chief complaints of  decreased urine output since 3 days and shortness of breath grade II-III since one day And fever  not associated with chills and rigors  HISTORY OF PRESENT ILLNESS : 57 year old female patient resident of sirikonda,, housewife . She was apparently asymptomatic 3 years back then she had low back pain which was radiating to groin diagnosed as renal caliculi managed conservatively.... f/b diagnosed with CKD managed conservatively  *Decreased urine output since 3days  *Sob grade II-III since yesterday night *Cough with sputum yellowish in colour intermittent f/b blood tinged sputum  *And fever not associated with chills and rigors  PAST HISTORY: No similar complaints in the past  MEDICAL HISTORY: Not a know case of diabetes, hypertension, tuberculosis, epilepsy, asthma. FAMILY HISTORY: No relevant family history PERSONAL HISTORY: -Mixe

    A 60 year old male patient came to casualty with c/o high grade fever since 5 days, Dry cough since 6 days, SOB on exertion since 4 days. C/o constipation since 4 days. C/o burning micturation since 10 days. No c/o decreased urine output. HOPI : Patient was apparently asymptomatic 10 days back, then he had burning micturation,and high grade fever a/w nausea and dry cough, not a/w chills and rigor,he had constipation since 5 days.   PAST HISTORY: Patient is a k/c/o DM since 30 yrsand was on medication DAPAGLIFLOZIN 10 MG OD and TAB. VOGLIBOSE 0.3 MG OD and  on insulin since 2 days MIXTARD as his Sr.Creatinine is 2 mg/dl K/C/O HTN since 30 years on TAB. AMLONG 2.5 MG OD . PERSONAL HISTORY DIET- MIXED APPETITE- Normal SLEEP- Adequate B&B- Decreased ADDICTIONS- Consumes alcohol occasionally. GENERAL EXAMINATION: patient is concious/coherent/cooperative, moderately built and nourished. No pallor No icterus No clubbing No edema No lymphadenopathy. Vitals: Temp- 101 F             PR-

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 CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE BASED INPUT   DECEMBER 20 , 2021 CHEIF COMPLAINTS: Patient came to casuality with c/o fever since 5 days on and off , a/w high grade chills  SOB since 1 day [ grade 3-4 ] Aggrevated since afternoon  HOPI :  PATIENT WAS APPARENTLY ASYMPTOMATIC 4 DAYS   BACK THEN DEVELOPED FEVER  ,WHICH WAS ,ON AND OFF HIGH GRADE ASSOCIATED WITH CHILLS  , A/W SOB (GRADE 3 -4) SINCE ONE DAY AGGREVATED SINCE AFTER NOON AND HE CAME TO KIMS FOR FURTHER EVALUATION NO C/O THERE IS NO HISTORY OF VOMITING ,LOOSE STOOLS ,NO H/O OF COUGH ,NO HISTORY OF PAIN IN ABDOMEN ,ABDOMINAL DISTENSION OR NO HISTORY OF DECREASED URINE OUTPUT HISTORY OF PAST ILLNESS

  December 14, 2021 BENIGN HEREDITARY CHOREA ACUTE PHARYNGITISULCERS SECONDARY TO ? FOLLICULITIS, TRAUMA WITHECZEMA ADJUSTMENT DISORDER 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. Unit 1 Admission ICU bed no 6  A 23yr old female came with chief complaints of  involuntary movements of both upper limbs and Lower limbs since  5yrs of age  HOPI Patient was apparently asymptomatic before 5years of age.Then she developed involuntary movements of upper limbs and lower limbs for which she was prescribed with some medications which she has used for 2yrs.There was no control of seizures. 5yrs back she was taken to Supraja hospt in nagole where she was p

 December 14, 2021 Patient came to casualty with  c/o burning micturition since 15 days  fever since 5 days  decreased urine output since 4 days,  sob since 4 days Hematuria + for 3 days HOPI :  Patient was apparently normal 8 years back then he had pain abdomen a/w fever and vomitings and diagnosed with ? Liver abscess and needle aspiration was done. 4 years back patient developed a blister over right ankle which ruptured and for ulcer and cellulitis debridement was done. Since 15 days patient had c/o burning micturition associated with fever, nausea, vomitings and treated accordingly. Fever since 4-5 days, intermittent,not a/w chills and rigors.no loose stools PAST HISTORY : No HTN/DM                         NON ALCOHOLIC/NON SMOKER General examination : Pt is conscious,coherent and cooperative.thin built and malnourished. No pallor No icterus No clubbing No lymphadenopathy No edema   Vitals : Temp : Afebrile BP : 170/90 mm Hg PR : 118 bpm RR : 16 cpm GRBS : 114 mg / dl SpO2 : 98 % @