ARUSHI KUMARI

Chief complaints: A 78 year old male came with chief complaints of: - no passage of urine from morning  - swelling in the left hand and right leg  HOPI: Patient was apparently asymptomatic 1 month back when he started noticing swelling in the left ankle and gradually progressed covering the whole leg in 6 days.  He was taken to Suryapet Hospital where they referred to Gandhi Hospital but the patient's attender did not wanted to stay there so they took him to a private hospital.  Surgical dressing was done in view of Necrotizing fascites and patient was asked to review after 10 days. Dressing was done again and surgery was suggested.  - From today morning the patient is complaining of no urine output and swelling in the right leg and left hand. He went to some hospital where they kept Foley's catheter but it was not properly kept .  So patient came to our hospital with complain of Anuria since morning and swelling in the right leg ams left hand.  PAST HISTORY 3 years back he had

    During Unit duty  Case 1 https://151arushikimari.blogspot.com/2022/09/chief-complaints-complain-of-vomiting.html My Orientation around this case : 1. What might be the reason of his breathlessness?  Ans. May be due to binge of alcohol intake 2. What are his precipitating factor for breathlessness?  Ans. - H/o asthma since 3yrs          - allergy to dust          - binge alcohol intake  3. What are his systemic examination finding?  Ans. In Respiratory system examination, B/L rhochi present in Infra-axillary area.  4. Why Inj. Thiamine is usually given to chronic alcoholic?  Ans. To prevent Thiamine induced Wernick's Encephalopathy.  Case 2 https://151arushikimari.blogspot.com/2022/08/57-year-old-male-with-pain-in-right.html My orientation around this case  : 1. What is the mechanism of development of AKI in patient with NSAID abuse?  Ans. Reduced renal blood flow due to decreased Prostagandin synthesis which regulate vasodilatation at the glomerular level.  Case 3 https://151ar

CHIEF COMPLAINTS : - complain of vomiting at 4:00 p. m on 29/09/22 - complain of BREATHLESSNESS since then  - complain of unresponsiveness @7:00 p. m on 28/09/22  HOPI : A 70 yeal old man was brought to the casuality with complaint of an episode of vomiting at 4:00 p.m on 28/09/22, which was non-projectile, non bilious, non blood stained with food particle as content.  - After which from 7:00 p. m he started getting breathlessness associated with which was not associated with chest pain, palpitation, PND, orthopnoeaorthopnoea.  - No history of fever / cough/ seizure like activity / cold / burning micturition / chest pain / abdominal pain / decreased urine output / head injury.  PAST HISTORY  - K/c/o HTN since 2 years and on treatment  - k/c/o Asthma since 3 years and on treatment  - no other comorbidities  PERSONAL HISTORY : Diet: mixed  Appetite: normal Bowel and bladder movement : regular  Allergies : to dust  Addiction : Alcohol: regular since 50 yrs  Tobacco: stopped 2 years baxk N

Name:ARUSHI  Internship 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 patients 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 comment box is welcome.  A 57 year old male resident of narketpally came to the OPD with chief complaints of pain in the right loin , froathy urine ,fever and decreased appetite since 10 days. HOPI: Patient was apparently asymptomatic 10 days back then he had pain in the right loin region which is insidious in onset and gradually progressive not associated with nausea, vomiting and loose stools. H/o froathy urine, fever with chills and rigor and decreased appetite since 5 days. Altered

Arushi Kumari  Roll no. 15 Chief complaints: A 53 year old male ,labourer by occupation came with complaints of shortness of breath since 1 day and cough since 1 day HOPI : Patient was assymptomatic 2 years ago and then Developed neck pain for which he visited local hospital and was diagnosed as having hypertension and using T.Telmisartan 40mg+ T.Metapropol 50mg since then,and asymptomatic 7 days ago and then developed low grade fever and associated with chills and rigors for which they took the consultation and used injections (unknown)and his fever got subsided,and after that developed generalised weakness for which he was tested and was told to be having Typhoid positive and got treatment symptomatically for 4 days and then after 4 days ,his weakness got subsided and got his investigations done and tested positive for Dengue antibody(IgG positive)and since 23/08/2022 night developed dry cough and shortness of breath at rest,and brought here for further management Personal history: M