Medicine Blog

 51 year old male came with complains of ulcer on left foot and right foot since 3 months.  Ulcer was insidious in onset and gradually progressive( initally a blister progressed to present size) non healing type.  He was a k/c/o diabetes and hypertension since 30 years for which he was taking medication.  He had a history of difficulty in micturition 10 years back for which he went to hospital and diagnosed with CKD and was on medication.  4 months back he developed bilateral pedal edema and started dialysis ( maintenance hemodialysis). 20 dialysis were done in kims, narketpally and 10 dialysis were done in suryapet.  He has habbit of drinking since 35 years( 90ml- quarter/ day) .  Not a k/c/o asthma, tuberculosis, vascular and cardiac disorders.  No past history of similar complaints No past history of hospitilization or surgery FAMILY HISTORY: No H/O Diabetes, Hypertension, Asthma, Epilepsy, Tuberculosis, CVA, CAD.  PERSONAL HISTORY: Diet :mixed Sleep :adequate  Bowel and bladder :re

Hi this is intern posted in General Medicine department and one of the important terms of getting the internship completion is to complete my log book with my daily log of what I learn during the course of my duties. Here is a case i have seen: CASE HISTORY 28 year old man, civil engineer from Coimbatore, first child  born out of a non consanguinous marriage to a Civil engineer and housewife. He was born and brought up in  Coimbatore. He has 2 younger sisters, the elder one is in her btech final year and the younger one is in her btech first year. He finished his engineering 5 years back after which he started working in Chennai. He was completely asymptomatic 1 year back, when he felt very tired one evening after his daily 8am to 5pm routine, he got better after resting for 2 days after which he resumed his daily activities. He moved to Nalgonda and started working at Pamalagula. 20 days back he says he had chicken biryani at a Dhaba 1 week after which he started having non projectile

This is an online E log book to discuss our patients deidentified 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 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 the comment box is welcome. Here is a case I have seen 60 yr old male presented on 5/3/21 to casualty with  C/o pain in the right hypochondrium from 3 days C/o decreased urine output from 1 day C/o vomitings from today morning Patient was apparently asymptomatic 3 days ago then he developed pain in the right hypochondrium which was colicky type, continuous, with no aggravating and relieving factors. Patient had 2 episodes of vomitings, non bilious, non projectile.  Patient has c/o urinary retention from 1 day for which

I am an intern in medicine department and one of the important terms of getting the internship completion is to complete my log book with my daily log of what I learn during the course of my duties.  CASE: A 65 year old man presented to the ER with a chief complaint of weakness in both his lower limbs since 15 days.  Detailed History The youngest of 2 and timid and shy as a boy, he quit school at an early age in 7th standard and pursued farming and other hard labor, following his father's footsteps. His early work involved shepherding, breaking stones and lifting heavy weights. He was renowned for his prowess in his locality. Married at the age of 20, he has 3 children with two daughters and a son (attendant). A few years after his marriage, into his early 30s, the patient first reported exertional, pounding palpitations associated with a heaviness in his chest. He remembers that this subsided when he took rest for a while. At this point he did not have any dyspnea, cough, chest pa