A 20 YRS OLD MALE CAME TO OPD WITH CHIEF COMPLAINTS OF YELLOWISH DISCOLORATION OF EYES



 Hi I am,Anirudh manne(Roll no 11), 5th sem medical student. This is an online e-log book to discuss our patient's health data shared after taking his/her consent . This also reflects my patient centered care and online learning portfolio.

Chief Complaints:

A 20 yrs old male came to opd with chief complaints of Yellowish discoloration of eyes

History of presenting illness:

patient was apparently asymptimatic since one year back then developed Yellowish discoloration of eyes 

POSITIVE HISTORY

Loss of appetite

Irregular bowel and bladder movements

Adipsia

NEGATIVE HISTORY:

N/K/C/O: TB , Asthma, epilepsy, thyroid

PERSONAL HISTORY:

Mixed diet

Irregular bowel and bladder movements

Adipsia

No addictions

Sleep adequate

FAMILY HISTORY:

No relevent family history

SYSTEMIC EXAMINATION

CENTRAL NERVOUS SYSTEM

Conscious

No neck stiffness 

No kernick sign

Speech normal


Tone                 Rt                  Lt

UL                     N                   N

LL                      N                   N


Power               Rt                  Lt


UL                    5/5                 5/5

LL                     5/5                 4/5

RRSPIRATORY SYSTEM

Position of trachea: central 

No dyspnea

No wheeze

Breathe sounds :vesicular

CVS:

S1 and s2 are heard

No thrills 

No cardiac murmers

GENERAL EXAMINATION:

The patient was conscious, coherent , well oriented to time place person and was examined in a well ventilated room

No pallor

Icterus present

No lymphadenopathy

No clubbing of fingers

Well built 

Well nourished

No pedal edema

VITALS:

Temperature :afebrile

Pulse:86bpm

Bp:100/70 mmhg










Comments

Post a Comment

Popular posts from this blog

A 60year old man came to hospital with complaints of tremors in right hand

Image
  Hi I am, AnirudhManne (roll no:11), 3rd sem medical student. This is an online e-log book to discuss our patient's health data shared after taking his/her consent . This also reflects my patient centered care and online learning portfolio. A 60year old male agricultural worker by occupation came to hospital with complaints of tremors in right hand Chief complaints Patient complaints of tremors in right forearm and hand History of presenting illness Patient was apparently asymptomatic 2years back He then developed shivering of right hand and arm which was     Insidious on onset and gradually progressive Initally shivering was localised to fingers only, later radiated to Palm.     numbness present Decreased power in right hand inability to hold things,unable to eat food, unable to work.     pain in right thigh     Shivering of right hand aggravated due to stress, anxiety fear, present for sometime during sleep.     Shivering is present throughant the day Intensity increases and dec
Read more

A 40year old male came to hospital with snake bite

Image
  Hi I am, AnirudhManne (roll no:11), 3rd sem medical student. This is an online e-log book to discuss our patient's health data shared after taking his/her consent . This also reflects my patient centered care and online learning portfolio. Chief Complaints: Bilateral loin pain since 3days. History Of Presenting Illness: Patient was apparently asymptomatic 7days back then he sustained snake bite (with Russell viper) on left ring finger while working in the fields,visited local hospital and managed symptomatically.  C/O bilateral loin pain,insidious in onset ,intermittent,gradually progressive,pricking type ,non radiating,aggravates on lying down. He has low grade fever,Nausea and vomiting. Not a known case of Burning Micturition,decreased or increased urine output.  No history of cough,cold,body aches,chest pain. Past History: N/k/c/o diabetes HTN,Epilepsy,Tuberculosis,CAD,CVA Personal History: Diet : Mixed  Appetite : Normal Sleep : Normal Bowel and bladder moments :Regular  Addi
Read more

A 80yr old male patient came to hospital with complaints of cough and difficulty in breathing

Image
  Hi, this is Anirudh manne, a medical student currently studying in KIMS Narketpally. This page is a compilation of cases taken up during my medical school years, with an intent to correlate theoretical concepts of medicine to practical aspects of it. These E-logs have been created after taking consent from the patient and the patient's advocate. So welcome, and I encourage you to immerse yourselves into these interesting cases. NOTE: THIS IS AN ONLINE E LOGBOOK 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 A SERIES OF INPUTS FROM THE AVAILABLE GLOBAL ONLINE COMMUNITY OF EXPERTS INTENDING TO SOLVE THOSE CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE-BASED INPUT. An 80 year old male patient, farmer by occupation, resident of Nalgonda came to the hospital with  CHIEF COMPLAINTS  of cough and difficulty in breathing since 2 years, which a
Read more