General medicine monthly online assessment

Sravani 15  June 25, 2022                     GENERAL MEDICINE.  25 June,2022 Note: This is an online E Log book recorded to discuss and comprehend our patient's  de-identified health data shared, AFTER taking his/her/guardian's signed informed consent.                       CASE REPORT   A 59 year old male with chief complaints of pedal edema, shortness of breath, oliguria .  CHEIF COMPLAINTS:  Bilateral pedal edema since 1year Oliguria since 3months  SOB since 3 months on excertion.  HISTORY OF PRESENT ILLNESS:  Patient was normal 1 year back  then he developed pedal edema which is bilateral pitting type . He had pain in chest region.  Shortness of breath during walk.  Urine output is decreased.  HISTORY OF PAST ILLNESS:  N/K/C/O HTN, DM, CAD, TB, Asthma TREATMENT HISTORY:  Nothing significant PERSONAL HISTORY: Married.  Appetite - normal  Non vegetarian  Bowels- regular.  Micturition- abnormal  Known allergies - none  FAMILY HISTORY :  Nothing significant PHYSICAL EXAMINATI

                                    A CASE OF ANEMIA This Eblog has been created under the guidance of Dr MADHUMITHA. BUDIGAM  The case is : A 20 year old female patient came to OPD  , she is a student.  Her chief complaints  are: Yellow discoloration of sclera Burning sensation b/w lowerlimbs Weakness Loss of appetite Weight loss All these complaints are since 6months  HOPI:  The patient had all the above complaints since 6months and she was asymptomatic 6months ago. She started taking herbal medicine when she developed yellowish discoloration for 2days and stopped .  History of Burning sensation b/w lower limbs is seen over a period of time.  Weakness and weight loss around 10 to12 kgs is also seen. Patient also gives history of passing dark colored stools sometimes.  Past history No h/o fever  No h/o drug intake  No h/o hematuria No h/o rashes  2 days back she gives h/o visiting local hospital and the tests done are  Total billirubin- 7g/dl Direct bilirubin- 3g/dl Hemoglobin- 4g/dl