ARUSHI KUMARI

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

August 16,2022 Chief Complain : A 42 year old male was brought to casuality in a state of altered sensorium with history of fever since 10 days , vomiting since 10 days , generalised weakness and drowsiness since 10 days. HOPI : Patient was asymptomatic 1.5 years ago and then developed involuntary movements of upper limb and lower limb associated with uprollong of eyes and for which he was taken to alocal hospital and was diagnosed to be having alcoholic encephalopathy and dyseloctrolytemia for which he was treated conservatively and was discharged in a hemodynamically stable condition.  From then he was asymptomatic until 10 days ago , when he developed fever which is of low grade and relieved on medication and developed generalised weakness and vomiting 4-5 episodes in a day and the content are food particles and non- bilious and also associated with nausea. C/O generalised weakness and drowsiness since 10 days. With above complains patient visited multiple hospitals and received sym