1 st INTERNAL

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Viral pneumonia

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  A 60 yr old male farmer by occupation, resident of narketpally came to the casuality  with chief complaints of dry cough, sob since 3 days and fever since 1 day. Hopi: patient was apparently asymtomatic 3days back then he had dry cough, progressive in nature not associated with any diurnal/ postural variation. sob initially grade -II gradually progressed to grade-IV.  not associated with any PND,orthopnea, pedal edema. from day 1 patient is having fever, low grade, intermittent, not associated with chills and rigors, relieves on taking medication. No h/o any decreased urine output. Past history:  no H/o of diabetes hypertension,asthma,TB, epilepsy Genral examination: pt is c/c/c,  afebrile. BP-140/80,  pr-104,  sats-89(at 15L of o2) Diagnosis: Viral pneumonia with type 1 respiratory failure with AKI Clinical pictures:- Treatment:- 1. O2 inhalation to maintain spO2 >92% 2. IVF NS, RL @75 mL/ hr 3. Inj. ceftriaxone 1gm iv/bd 4. Tab. AZITHROMYCIN 500...
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32 yr old with CLD seconday to alcohol

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 This is an online e log book to discuss our patient de-identified health data shared after taking his / her / guardians signed informed consent. Here we discuss our individual patients problems through series of inputs from available global online community of experts with an aim to solve those patients clinical problem with collective current best evident based input. This E blog also reflects my patient centered online learning portfolio and your valuable inputs on the comment box is welcome. 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 diagnosis and treatment plan.  Unit 6 admission  Ward case  A 32 year old male presented to the opd with C/O Yellowish discoluration of  eyes and passage of dark yellow coloured urine  since 1 month. HOPI Patient was app...
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60 year old male AKI on CKD

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60 yr old male,tailor by occupation not working since 3 yrs c/o sob since 3 days,pedal edema since 3days,chest pain since 2hrs. HOPI - pt was apparently asymptomatic 30yrs ago diagnosed with dm,htn  7yrs ago c/o b/l pedal edema,decreased urine output diagnosed with heart failure  10/21 -pt came to our hospital with sob,pedal edema was diagnosed and treated as hfpef,crf,grade 2 bph. Since 3days c/o sob,pedal edema,chest pain since 2hrs  No h/o fever,cold,cough  K/c/o DM,HTN   Personal history: Diet -mixed  Appetite-normal Bowel and bladder-regular  Sleep-adequate  Alcoholic from 25yrs and he stopped 5yrs back and occasional smoker GENERAL EXAMINATION: Pallor -present  Pedal edema-present  No cyanosis,icterus,clubbing,lymphadenopathy  Vitals: Bp-130/80mmhg PR-120 Temp-afebrile  Spo2- 98% at room air  SYSTEMIC EXAMINATION: CVS - s1s2 heard  RS - BAE present  P/A - soft,non tender CNS- NAD PROVISIONAL DIAGNOSIS: Chro...
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